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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
$478.63 / $660.69 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$933.25 / $954.99 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $954.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,202.26 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $724.44 / $870.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $954.99 / $2,630.27