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Vermont rates for HCPCS L4392

Replacement, soft interface material, static AFO

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $21.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $15.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.39 / $26.92 / $33.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $13.49 / $15.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $19.50 / $60.26