go back

Vermont rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$875.58 / $875.58 / $1,010.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,318.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $896.62
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $1,318.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $870.50 / $896.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.75 / $1,062.85 / $2,074.23