go back

Vermont rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $70.37 / $81.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $106.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $77.83
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $106.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $77.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.54 / $82.54 / $82.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.96 / $94.11 / $166.71