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Vermont rates for HCPCS L5988

Addition To Lower Limb Prosthesis Vertical Shock Reducing Pylon Feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.66 / $1,148.66 / $1,325.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,904.37 / $1,904.37 / $1,904.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,730.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,341.92 / $1,435.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,730.06
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $1,346.19 / $1,435.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.88 / $1,619.40 / $2,721.18