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Vermont rates for HCPCS L5670

Addition To Lower Extremity Below Knee Molded Supracondylar Suspension (Pts Or Similar)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.81 / $168.81 / $194.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $254.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $216.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.51 / $203.51 / $254.24
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.56 / $203.51 / $216.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.05 / $244.81 / $399.90