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Vermont rates for HCPCS L5780

Addition Exoskeletal Knee-Shin System Single Axis Pneumatic/Hydra Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$714.68 / $714.68 / $824.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,076.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $893.06 / $1,067.43
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.33 / $1,036.33 / $1,076.41
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.53 / $1,036.33 / $1,067.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.09 / $1,032.93 / $1,693.06