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Vermont rates for HCPCS L2395

Addition To Lower Extremity Offset Knee Joint Heavy Duty Each Joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.69 / $114.69 / $132.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $172.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $110.14 / $117.42
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.15 / $110.15 / $172.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $110.14 / $117.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.84 / $139.22 / $271.70