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Vermont rates for HCPCS L5703

Ankle Symes Molded To Patient Model Socket Without Solid Ankle Cushion Heel (Sach) Foot Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,384.74 / $1,384.74 / $1,597.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.51 / $2,119.51 / $2,119.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.24 / $1,547.24 / $2,183.10
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,119.51 / $2,119.51 / $2,119.51
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.24 / $2,119.51 / $2,183.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,252.58 / $2,132.50 / $3,280.45