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Vermont rates for HCPCS L2627

Addition To Lower Extremity Pelvic Control Plastic Molded To Patient Model Reciprocating Hip Joint And Cables

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,256.60 / $1,256.60 / $1,449.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,892.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,243.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,206.80 / $1,206.80 / $1,892.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,243.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.85 / $1,525.39 / $2,976.91