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Vermont rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.56 / $266.56 / $307.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $401.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $311.33 / $385.94
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $401.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $362.03 / $385.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.67 / $375.80 / $631.48