go back

Vermont rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $11,220.18 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,218.10 / $19,952.62 / $25,118.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $12,302.69 / $14,791.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,079.46 / $15,488.17 / $42,657.95