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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
$577.94 / $577.94 / $666.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.47 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $817.11 / $901.55
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.47 / $875.29 / $875.29
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $901.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.90 / $701.56 / $1,369.14