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Vermont rates for HCPCS L5856

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,960.36 / $13,960.36 / $16,108.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,144.97 / $23,144.97 / $23,144.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $18,997.30
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $16,200.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $18,997.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,895.35 / $16,946.38 / $23,786.90