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Vermont rates for HCPCS L5795

Addition Exoskeletal System Hip Disarticulation Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.49 / $838.49 / $967.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $1,262.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $802.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $1,262.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $802.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.48 / $1,017.84 / $1,986.39