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Vermont rates for HCPCS L5672

Addition To Lower Extremity Below Knee Removable Medial Brim Suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.35 / $205.35 / $236.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $309.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $283.32 / $306.74
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.81 / $297.81 / $309.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.40 / $297.81 / $306.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.55 / $269.02 / $486.48