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Vermont rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $213.80 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $295.12
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $346.74 / $478.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.88 / $190.55 / $281.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $316.23 / $870.96