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Vermont rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Facilitymedian $457 · 10th–90th $302$5130%50%10th90th$457Professionalmedian $339 · 10th–90th $245$4270%20%10th90th$339$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$338.84
Typical High
$389.05
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$489.78
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$676.08
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$331.13
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$251.19
Median
$436.52
Typical High
$1,380.38