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Vermont rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Facilitymedian $295 · 10th–90th $275–$3630%50%10th90th$295Professionalmedian $240 · 10th–90th $195–$3160%20%10th90th$240$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $239.88 / $275.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $363.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $295.12
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $478.63
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $331.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $323.59 / $1,000.00