go back

Vermont rates for HCPCS L5500

Initial Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Plaster Socket Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.73 / $856.73 / $988.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,290.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $992.12
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$963.22 / $963.22 / $1,290.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.15 / $963.22 / $992.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$583.90 / $1,039.98 / $2,029.58