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Vermont rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $457.09 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$562.34 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $588.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $741.31 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $467.74 / $602.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $575.44 / $1,584.89