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Vermont rates for HCPCS L5979

All Lower Extremity Prosthesis Multi-Axial Ankle Dynamic Response Foot One Piece System

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,387.26 / $1,387.26 / $1,600.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,299.96 / $2,299.96 / $2,299.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $2,089.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,824.31
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,711.28 / $1,711.28 / $2,089.44
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.23 / $1,711.28 / $1,824.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$983.32 / $2,090.79 / $3,286.43