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Vermont rates for HCPCS L5785

Addition, exoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $371.54 / $467.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $389.05 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $416.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $645.65 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $331.13 / $489.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $630.96 / $1,737.80