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Vermont rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,630.27 / $3,548.13
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,265.80 / $4,265.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $3,801.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,041.74 / $2,041.74 / $2,951.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $5,128.61 / $5,888.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,511.89 / $3,548.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $3,890.45 / $10,964.78