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Vermont rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,026.88 / $2,026.88 / $2,338.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,360.35 / $3,360.35 / $3,360.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $3,052.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,457.07 / $2,909.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $3,052.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $2,909.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.65 / $2,600.65 / $3,116.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,381.42 / $2,965.23 / $4,801.67