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Vermont rates for HCPCS L5840

Addition Endoskeletal Knee/Shin System 4-Bar Linkage Or Multiaxial Pneumatic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,169.85 / $2,169.85 / $2,503.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,268.13 / $3,364.97 / $3,364.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $2,533.46 / $3,587.23
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,268.13 / $3,364.97 / $3,364.97
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.42 / $3,364.97 / $3,587.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,538.03 / $3,057.88 / $5,140.37