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Vermont rates for HCPCS L5855

Addition, endoskeletal system, hip disarticulation, mechanical hip extension assist

Facilitymedian $245 · 10th–90th $240$2950%50%10th90th$245Professionalmedian $182 · 10th–90th $178$2340%50%10th90th$182$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $181.97 / $234.42
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $239.88
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $363.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $245.47 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $281.84 / $741.31