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Vermont rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.28 / $622.28 / $718.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.26 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.29 / $815.25 / $1,020.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.26 / $957.73 / $957.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.29 / $957.73 / $1,020.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.12 / $822.21 / $1,474.18