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Vermont rates for HCPCS L5624

Addition To Lower Extremity Test Socket Above Knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.92 / $283.92 / $327.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.70 / $470.70 / $470.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $427.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $332.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $427.63
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $311.77 / $332.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $344.65 / $672.61