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Vermont rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.80 / $196.80 / $227.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.27 / $326.27 / $326.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $296.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $278.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.88 / $260.88 / $296.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $278.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.13 / $303.07 / $466.22