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Vermont rates for HCPCS L4394

Replace Soft Interface Material, Foot Drop Splint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.30 / $10.30 / $11.88
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.07 / $17.07 / $17.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $15.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.40 / $13.40 / $15.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.40 / $13.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.11 / $9.11 / $11.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.30 / $12.50 / $24.40