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Vermont rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.86 / $399.86 / $461.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $602.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $482.05
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $602.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $482.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.43 / $485.39 / $947.28