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Vermont rates for HCPCS L5280

Hemipelvectomy, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,630.27 / $3,630.78 / $5,011.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,677.35 / $4,677.35 / $5,248.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $4,786.30
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,025.60 / $8,128.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,897.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $5,370.32 / $15,135.61