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Vermont rates for HCPCS L5964

Addition Endoskeletal System Above Knee Flexible Protective Outer Surface Covering System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.73 / $623.73 / $719.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $939.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $748.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$702.38 / $702.38 / $939.43
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $702.38 / $748.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.10 / $844.92 / $1,477.61