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Vermont rates for HCPCS L5611

Addition To Lower Extremity Endoskeletal System Above Knee - Knee Disarticulation 4 Bar Linkage With Friction Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.23 / $1,258.23 / $1,451.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,086.04 / $2,086.04 / $2,086.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,895.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,307.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,226.77 / $1,226.77 / $1,895.10
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$895.54 / $1,226.77 / $1,307.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.56 / $1,527.37 / $2,980.75