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Vermont rates for HCPCS L5790

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $512.86 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $588.84 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $616.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $891.25 / $1,148.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.19 / $524.81 / $676.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $870.96 / $2,398.83