go back

Vermont rates for HCPCS L5590

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Laminated Socket Molded To Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,624.30 / $1,624.30 / $1,874.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,692.94 / $2,692.94 / $2,692.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.62 / $2,289.62 / $2,446.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.42 / $1,671.42 / $1,796.92
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,289.62 / $2,289.62 / $2,446.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,671.42 / $1,671.42 / $1,796.92
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.45 / $2,501.42 / $3,847.96