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Vermont rates for HCPCS L5974

All Lower Extremity Prostheses Foot Single Axis Ankle/Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.94 / $177.94 / $205.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.01 / $295.01 / $295.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $267.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $186.32
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.77 / $174.77 / $267.99
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.58 / $174.77 / $186.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.28 / $215.99 / $421.53