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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
$803.46 / $803.46 / $927.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $1,210.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $921.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$895.00 / $895.00 / $1,210.13
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$653.35 / $895.00 / $921.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.60 / $1,076.64 / $1,903.40