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Vermont rates for HCPCS L5585

Preparatory, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, prefabricated adjustable open end socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,612.34 / $1,612.34 / $1,860.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.44 / $2,571.77 / $2,571.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,429.94 / $2,648.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,428.44 / $2,571.77 / $2,571.77
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,877.39 / $2,571.77 / $2,648.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.85 / $1,957.21 / $3,819.64