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Vermont rates for HCPCS L5968

Addition To Lower Limb Prosthesis Multiaxial Ankle With Swing Phase Active Dorsiflexion Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,089.46 / $2,089.46 / $2,410.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,464.14 / $3,464.14 / $3,464.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $3,147.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,440.73 / $2,871.59
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,448.80 / $2,448.80 / $3,147.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,787.62 / $2,448.80 / $2,871.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,424.09 / $2,945.77 / $4,949.93