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Vermont rates for HCPCS L5560

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, molded to model

Facilitymedian $1,738 · 10th–90th $1,349$1,8620%20%40%10th90th$1,738Professionalmedian $1,148 · 10th–90th $1,000$1,7380%20%10th90th$1,148$1.0K$2.0K$5.0K$10.0K

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
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,148.15
Typical High
$1,737.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,318.26
Median
$1,318.26
Typical High
$1,819.70
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,862.09
Median
$1,862.09
Typical High
$2,290.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,412.54
Typical High
$1,862.09
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,778.28
Typical High
$4,786.30