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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
$14.10 / $14.10 / $16.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $21.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $16.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.80 / $15.80 / $21.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.53 / $15.80 / $16.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.61 / $17.12 / $33.40