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Vermont rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $26.92 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $31.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $46.77 / $63.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.62 / $31.62 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.60 / $35.48 / $100.00