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Vermont rates for HCPCS L5629

Addition To Lower Extremity Below Knee Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.18 / $248.18 / $286.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.46 / $411.46 / $411.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $373.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $264.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $373.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $248.05 / $264.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.15 / $301.27 / $587.94