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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
$427.89 / $427.89 / $493.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $644.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $438.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$410.92 / $410.92 / $644.47
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $438.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.63 / $519.41 / $1,013.65