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Vermont rates for HCPCS L5814

Addition Endoskeletal Knee-Shin System Polycentric Hydraulic Swing Phase Control Mechanical Stance Phase Lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,135.41 / $2,135.41 / $2,463.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $3,216.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,494.55 / $2,667.97
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,502.67 / $2,502.67 / $3,216.26
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $2,667.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.61 / $2,592.16 / $5,058.79