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Vermont rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.76 / $272.76 / $314.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $410.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $384.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $410.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $373.57 / $384.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.36 / $276.36 / $348.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $353.80 / $646.16