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Vermont rates for HCPCS L4361

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $707.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $213.80 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $154.88 / $251.19
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $323.59 / $416.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $154.88 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $323.59 / $870.96