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Vermont rates for HCPCS L4350

Ankle Control Orthosis Stirrup Style Rigid Includes Any Type Interface (E.G. Pneumatic Gel)Prefabricated Off-The-Shelf (Revised 01/01/14) D 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.40 / $57.08 / $65.87
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.65 / $94.65 / $94.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $85.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $62.94 / $72.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.22 / $68.22 / $85.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.80 / $68.22 / $73.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.47 / $69.29 / $135.22