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Vermont rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $436.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $331.13 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $660.69 / $1,819.70