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Vermont rates for HCPCS L5828

Addition, endoskeletal knee-shin system, single axis, fluid swing and stance phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,205.33 / $2,205.33 / $2,544.61
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,656.23 / $3,656.23 / $3,656.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $3,321.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $2,111.14
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.90 / $2,117.90 / $3,321.57
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.07 / $1,546.07 / $2,111.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.18 / $2,677.03 / $5,224.42