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Vermont rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$224

Typical negotiated rate. In Vermont, July 2026.

Insurers have agreed to pay about $224 for this service. Most negotiated rates run $195 to $282.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $234 · 10th to 90th $38 to $275Professionalmedian $224 · 10th to 90th $195 to $302
$50$100$200$500facility $234professional $224

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$194.98
Typical High
$281.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$323.59
Typical High
$323.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$295.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$309.03
Typical High
$389.05
United
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$229.09
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$263.03
Typical High
$794.33

Where Vermont sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 30th of 51

$224

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.