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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
$374.52 / $374.52 / $432.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.09 / $572.20 / $572.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $589.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.09 / $572.20 / $572.20
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.71 / $572.20 / $589.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.26 / $576.76 / $887.24