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Vermont rates for HCPCS L5648

Addition To Lower Extremity Above Knee Air Fluid Gel Or Equal Cushion Socket. (Rvsdf 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.61 / $385.61 / $444.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.79 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $628.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.79 / $589.44 / $589.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $589.44 / $628.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.95 / $593.85 / $657.05