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Vermont rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Facilitymedian $45 · 10th–90th $36–$540%20%40%10th90th$45Professionalmedian $35 · 10th–90th $26–$510%20%10th90th$35$20.0$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $34.67 / $51.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $44.67 / $53.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $33.11 / $44.67
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $56.23 / $70.79
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $37.15 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $50.12 / $144.54