go back

Vermont rates for HCPCS L5643

Addition to lower extremity, hip disarticulation, flexible inner socket, external frame

Facilitymedian $1,175 · 10th–90th $741–$1,8200%50%10th90th$1,175Professionalmedian $1,202 · 10th–90th $794–$1,4130%50%10th90th$1,202$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $1,202.26 / $1,412.54
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $851.14 / $1,174.90
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,454.71
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$741.31 / $933.25 / $1,479.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,548.82 / $5,011.87