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Vermont rates for HCPCS L5726

Addition Exoskeletal Knee-Shin System Single Axis External Joints Fluid Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,320.62 / $1,320.62 / $1,523.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,989.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,654.38
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,606.19 / $1,606.19 / $1,989.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $1,654.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.63 / $2,250.19 / $2,250.19