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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
$77.62 / $104.71 / $131.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $109.65 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $81.28 / $117.49
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $181.97 / $234.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $91.20 / $109.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $138.04 / $489.78