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Vermont rates for HCPCS L5649

Addition To Lower Extremity Ischial Containment/Narrow M-L Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.15 / $1,115.15 / $1,286.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,848.81 / $1,848.81 / $1,848.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.59 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $2,110.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,679.59 / $1,800.00 / $1,800.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,800.00 / $2,110.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$760.04 / $1,717.33 / $2,641.79