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Vermont rates for HCPCS L5981

All lower extremity prostheses, flex-walk system or equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,089.30 / $2,398.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,884.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,584.89 / $2,511.89
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,019.95 / $3,630.78 / $4,570.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.84 / $2,290.87 / $2,754.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $2,951.21 / $8,128.31