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Vermont rates for HCPCS L5984

All Endoskeletal Lower Extremity Prostheses Axial Rotation Unit With Or Without Adjustability (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.46 / $405.46 / $467.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$672.19 / $672.19 / $672.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $610.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $455.47
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.25 / $427.25 / $610.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.89 / $427.25 / $455.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.33 / $513.95 / $960.52