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Vermont rates for HCPCS L5632

Addition to lower extremity, Symes type, PTB brim design socket

Facilitymedian $166 · 10th–90th $135$2240%50%10th90th$166Professionalmedian $148 · 10th–90th $126$1820%20%10th90th$148$100.0$200.0$500.0$1.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $147.91 / $181.97
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $165.96 / $223.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $165.96
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $141.25 / $208.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $204.17 / $616.60