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Vermont rates for HCPCS L5644

Addition to lower extremity, above knee (AK), wood socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.95 / $453.95 / $523.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $683.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $472.35
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$458.59 / $458.59 / $683.72
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.77 / $458.59 / $472.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.76 / $551.04 / $1,075.40