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Vermont rates for HCPCS L4130

Replace pretibial shell

Facilitymedian $372 · 10th–90th $269–$4070%50%10th90th$372Professionalmedian $269 · 10th–90th $269–$3550%50%90th$269$200.0$500.0$1.0K$2.0K

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
$269.15 / $269.15 / $354.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $371.54 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $371.54
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $549.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $275.42 / $371.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $416.87 / $645.65