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Vermont rates for HCPCS L5617

Addition To Lower Extremity Quick Change Self-Aligning Unit Above Knee Or Below Knee Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.94 / $337.94 / $389.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $508.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $450.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $508.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $436.96 / $450.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.55 / $520.42 / $800.58