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Vermont rates for HCPCS L8031

Breast prosthesis, silicone or equal, with integral adhesive

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.38 / $246.38 / $284.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $285.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$277.45 / $277.45 / $277.45
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.54 / $277.45 / $285.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.92 / $322.51 / $583.66