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Vermont rates for HCPCS L5830

Addition Endoskeletal Knee-Shin System Single Axis Pneumatic/ Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.86 / $1,481.86 / $1,709.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $2,231.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,566.65 / $1,763.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,654.54 / $1,654.54 / $2,231.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $1,763.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,050.36 / $1,798.82 / $3,510.53