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Vermont rates for HCPCS L5653

Addition To Lower Extremity Knee Disarticulation Expandable Wall Socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.95 / $356.95 / $411.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.63 / $555.76 / $555.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $553.01 / $592.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.63 / $555.76 / $555.76
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.70 / $555.76 / $592.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.29 / $525.07 / $845.62