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Vermont rates for HCPCS L5971

All Lower Extremity Prosthesis Solid Ankle Cushion Heel (Sach) Foot Replacement Only

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.61 / $158.61 / $183.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $116.22 / $169.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.21 / $159.21 / $159.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.22 / $159.21 / $169.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.10 / $192.53 / $375.73