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Vermont rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.33 / $291.33 / $336.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.01 / $483.01 / $483.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $438.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $371.88 / $405.78
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $438.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $380.63 / $405.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.56 / $448.66 / $690.18