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Vermont rates for HCPCS L5677

Additions To Lower Extremity Below Knee Knee Joints Polycentric Pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.05 / $385.05 / $444.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $579.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $427.25
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $579.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $400.78 / $427.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.43 / $467.41 / $912.19