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Vermont rates for HCPCS L5312

Knee disarticulation (or through knee), molded socket, single axis knee, pylon, SACH foot, endoskeletal system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,454.71 / $3,235.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,019.95 / $3,019.95 / $3,019.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $3,019.95
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,890.45 / $5,248.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $2,630.27 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $3,019.95 / $8,317.64