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Vermont rates for HCPCS L5850

Addition Endoskeletal System Above Knee Or Hip Disarticulation Knee Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.93 / $74.93 / $86.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.22 / $124.22 / $124.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $112.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $95.61 / $105.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.32 / $99.32 / $112.85
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.50 / $99.32 / $105.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.16 / $115.42 / $177.51