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Vermont rates for HCPCS L5790

Addition Exoskeletal System Above Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.52 / $561.52 / $647.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $845.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $620.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.20 / $582.20 / $845.74
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.01 / $582.20 / $620.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.36 / $500.36 / $500.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.70 / $681.62 / $1,330.22