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Vermont rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $645.65 / $776.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $870.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,047.13 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $645.65 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $891.25 / $2,454.71