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Vermont rates for HCPCS L5160

Knee disarticulation (or through knee), molded socket, bent knee configuration, external knee joints, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,467.31 / $2,467.31 / $2,846.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,716.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,627.73 / $3,780.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.30 / $3,670.30 / $3,716.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,679.32 / $3,670.30 / $3,780.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,277.52 / $3,799.66 / $5,845.05