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Vermont rates for HCPCS L5811

Addition, endoskeletal knee-shin system, single axis, manual lock, ultra-light material

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $537.03 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $616.60
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $912.01 / $1,174.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $588.84 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $870.96 / $2,454.71