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Vermont rates for HCPCS L5100

Below Knee, Molded Socket, Shin, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.24 / $1,636.24 / $1,887.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $2,464.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,737.34
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $2,464.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,737.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.18 / $2,096.83 / $3,876.25