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Vermont rates for HCPCS L5676

Additions To Lower Extremity Below Knee Knee Joints Single Axis Pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.02 / $278.02 / $320.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $418.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $289.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $418.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $271.77 / $289.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.49 / $337.48 / $658.63