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Vermont rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $371.54 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $389.05
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $549.54 / $741.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.15 / $275.42 / $371.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $416.87 / $1,174.90