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Vermont rates for HCPCS L5500

Initial, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Facilitymedian $955 · 10th–90th $174–$1,2880%20%10th90th$955Professionalmedian $851 · 10th–90th $661–$9770%20%10th90th$851$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$660.69 / $851.14 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$954.99 / $954.99 / $1,288.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$707.95 / $707.95 / $954.99
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $1,023.29 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,174.90 / $3,548.13