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Vermont rates for HCPCS L5652

Addition To Lower Extremity Suction Suspension Above Knee Or Knee Disarticulation Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.52 / $315.52 / $364.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.12 / $523.12 / $523.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $475.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $360.86
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.50 / $338.50 / $475.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.11 / $338.50 / $360.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.05 / $393.34 / $747.46