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Vermont rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $457.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $380.19 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $281.84 / $446.68
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $588.84 / $794.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $316.23 / $478.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $457.09 / $1,258.93