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Vermont rates for HCPCS L5540

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, laminated socket, molded to model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,209.15 / $1,209.15 / $1,395.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,004.67 / $2,004.67 / $2,004.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,821.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,705.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,599.98 / $1,599.98 / $1,821.17
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,167.99 / $1,599.98 / $1,705.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.11 / $1,632.93 / $2,864.47