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Vermont rates for HCPCS L2405

Addition to knee joint, drop lock, each

Facilitymedian $60 · 10th–90th $32–$760%20%10th90th$60Professionalmedian $50 · 10th–90th $43–$680%20%10th90th$50$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $50.12 / $64.57
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $83.18 / $83.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$67.61 / $67.61 / $75.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $50.12 / $67.61
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $100.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $46.77 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $72.44 / $117.49