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Vermont rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Facilitymedian $1,738 · 10th–90th $1,445–$2,4550%50%10th90th$1,738Professionalmedian $1,622 · 10th–90th $1,230–$1,9050%20%10th90th$1,622$1.0K$2.0K$5.0K$10.0K

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
$1,230.27 / $1,621.81 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,737.80
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $2,630.27 / $3,311.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,445.44 / $1,621.81 / $2,187.76
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $2,137.96 / $6,760.83