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Vermont rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $12.00 / $12.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.69 / $21.69 / $21.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $22.22 / $23.68
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.04 / $22.26 / $23.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.50 / $17.45 / $30.72