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Vermont rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.04 / $285.04 / $328.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.32 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.71 / $367.78 / $367.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$429.32 / $503.81 / $503.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.71 / $367.78 / $367.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.27 / $438.97 / $675.27