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Vermont rates for HCPCS L5622

Addition To Lower Extremity Test Socket Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.67 / $264.67 / $305.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.80 / $438.80 / $438.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $398.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $270.98
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $398.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $270.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.39 / $327.07 / $627.02