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Vermont rates for HCPCS L5940

Addition Endoskeletal System Below Knee Ultra-Light Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.79 / $293.79 / $338.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.08 / $487.08 / $487.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $442.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $447.99
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.03 / $382.03 / $442.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $447.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.24 / $452.45 / $696.01