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Vermont rates for HCPCS L5701

Replacement Socket Above Knee/Knee Disarticulation Including Attachment Plate Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,117.30 / $2,117.30 / $2,443.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,510.30 / $3,510.30 / $3,510.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $3,188.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,550.04 / $2,990.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $3,188.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $2,550.04 / $2,990.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.06 / $3,067.56 / $5,015.89