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Vermont rates for HCPCS L5631

Addition To Lower Extremity Above Knee Or Knee Disarticulation Acrylic Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.13 / $343.13 / $395.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.88 / $568.88 / $568.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $516.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $351.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $516.79
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $329.53 / $351.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.86 / $560.25 / $584.65