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Vermont rates for HCPCS L2622

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.67 / $224.67 / $259.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $338.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $230.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.87 / $215.87 / $338.39
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.59 / $215.87 / $230.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.50 / $272.73 / $532.26