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Vermont rates for HCPCS L5647

Addition To Lower Extremity Below Knee Suction Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$621.21 / $621.21 / $716.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,029.91 / $1,029.91 / $1,029.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $935.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $594.80
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $935.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $594.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.41 / $629.41 / $754.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.39 / $754.08 / $1,471.64