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Vermont rates for HCPCS L8042

Orbital prosthesis, provided by a nonphysician

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,084.16 / $2,084.16 / $2,404.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.07 / $3,214.74 / $3,214.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.88 / $2,732.53 / $3,311.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,139.07 / $3,214.74 / $3,214.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.88 / $3,214.74 / $3,311.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.48 / $2,719.10 / $4,937.38