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Vermont rates for HCPCS L4370

Pneumatic Full Leg Splint Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.38 / $138.38 / $159.68
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.43 / $229.43 / $229.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $208.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $160.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $208.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $150.11 / $160.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.34 / $225.95 / $235.79