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Vermont rates for HCPCS L5341

Hemipelvectomy, Canadian type, molded socket, endoskeletal system, hip joint, single axis knee, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,960.14 / $2,960.14 / $3,415.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $4,458.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,777.86 / $3,904.08
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,790.37 / $3,790.37 / $4,458.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,766.97 / $3,790.37 / $3,904.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,017.50 / $4,558.62 / $7,012.57