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Vermont rates for HCPCS L4398

Foot Drop Splint Recumbent Positioning Device Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.53 / $46.32 / $53.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.79 / $76.79 / $76.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $69.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $56.56 / $64.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $69.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.29 / $56.56 / $64.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.60 / $71.33 / $109.73