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Vermont rates for HCPCS L8035

Custom breast prosthesis, post mastectomy, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,106.55 / $2,106.55 / $2,430.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,172.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $2,460.44
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.59 / $3,060.59 / $3,172.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,234.23 / $2,234.23 / $2,460.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,889.95 / $3,589.32 / $3,589.32