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Vermont rates for HCPCS L5520

Preparatory Below Knee Ptb Type Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,118.66 / $1,118.66 / $1,290.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,684.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,269.70
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,684.88
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,269.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.09 / $1,846.60 / $2,650.11