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Vermont rates for HCPCS L4205

Repair of orthotic device, labor component, per 15 minutes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $18.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $22.39 / $22.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $22.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $28.18 / $28.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.13 / $14.13 / $17.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $17.38 / $60.26