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Vermont rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.55 / $170.55 / $196.79
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $256.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $209.24 / $227.13
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.51 / $220.51 / $256.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $227.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $230.38 / $404.04