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Vermont rates for HCPCS L5920

Addition Endoskeletal System Above Knee Or Hip Disarticulation Alignable System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.36 / $414.36 / $478.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$686.98 / $686.98 / $686.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $624.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $424.22
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.94 / $397.94 / $624.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.50 / $397.94 / $424.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.41 / $502.99 / $981.61