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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
$302.00 / $416.87 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $549.54
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $933.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $389.05 / $549.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $549.54 / $1,513.56