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Vermont rates for HCPCS L5105

Below Knee, Plastic Socket, Joints And Thigh Lacer, Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,492.13 / $2,492.13 / $2,875.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,753.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $3,097.01
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,753.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $3,006.81 / $3,097.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.53 / $3,134.16 / $5,903.86