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Vermont rates for HCPCS L5688

Addition to lower extremity, below knee (BK), waist belt, webbing

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $42.66 / $57.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.71 / $45.71 / $63.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $48.98
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $97.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $48.98 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $64.57 / $177.83