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Vermont rates for HCPCS L5840

Addition, endoskeletal knee-shin system, four-bar linkage or multiaxial, pneumatic swing phase control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $2,454.71 / $2,951.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.94 / $3,388.44 / $3,388.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $3,388.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,467.37 / $4,168.69 / $5,370.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $2,691.53 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,311.31 / $9,332.54