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Vermont rates for HCPCS L5700

Replacement Socket Below Knee Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,706.69 / $1,706.69 / $1,969.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,829.55 / $2,829.55 / $2,829.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,570.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,814.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,570.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $2,400.00 / $2,814.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,163.21 / $2,470.67 / $4,043.16