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Vermont rates for HCPCS L5270

Hip Disarticulation Tilt Table Type; Molded Socket Locking Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,503.58 / $3,503.58 / $4,042.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $5,276.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $5,010.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,865.01 / $4,865.01 / $5,276.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $5,010.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,387.89 / $4,640.05 / $8,299.98