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Vermont rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $72.44 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $120.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $95.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $123.03 / $162.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.43 / $79.43 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $112.20 / $309.03