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Vermont rates for HCPCS L5966

Addition, endoskeletal system, hip disarticulation, flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $1,071.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $891.25 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $660.69 / $912.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,288.25 / $1,548.82 / $1,905.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $954.99 / $1,122.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,230.27 / $3,467.37