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Vermont rates for HCPCS L5651

Addition to lower extremity, above knee (AK), flexible inner socket, external frame

Facilitymedian $1,148 · 10th–90th $457$1,4130%20%40%10th90th$1,148Professionalmedian $933 · 10th–90th $617$1,2020%20%40%10th90th$933$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $933.25 / $1,071.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,548.82 / $1,548.82
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,412.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$870.96 / $870.96 / $1,202.26
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,513.56 / $1,862.09
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $724.44 / $1,148.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $1,202.26 / $3,890.45