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Vermont rates for HCPCS L5301

Below Knee, Molded Socket, Shin, Sach Foot, Endoskeletal System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,436.75 / $1,436.75 / $1,657.79
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,382.01 / $2,382.01 / $2,382.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $2,163.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,716.20 / $2,019.28
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,721.98 / $1,721.98 / $2,163.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,257.05 / $1,721.98 / $2,019.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.23 / $1,744.06 / $3,403.66