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Vermont rates for HCPCS L5637

Addition To Lower Extremity Below Knee Total Contact

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.81 / $194.81 / $224.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.97 / $322.97 / $322.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $293.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $232.98 / $273.20
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $293.41
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $232.98 / $273.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.98 / $300.01 / $461.51