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Vermont rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.93 / $295.93 / $382.33
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.63 / $490.63 / $490.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $377.64
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$445.72 / $459.90 / $459.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $377.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.70 / $455.74 / $701.07