go back

Vermont rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $363.08 / $398.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$446.68 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $478.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $588.84 / $812.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $363.08 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $457.09 / $1,258.93