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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $66.07 / $144.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $72.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $97.72 / $134.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $63.10 / $77.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $77.62 / $245.47