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Vermont rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Facilitymedian $1,413 · 10th–90th $1,349–$1,7380%20%40%10th90th$1,413Professionalmedian $1,148 · 10th–90th $1,047–$1,4790%20%10th90th$1,148$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,148.15 / $1,479.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $1,905.46 / $1,905.46
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,348.96 / $1,348.96 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,348.96
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $2,290.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,412.54 / $1,698.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$851.14 / $1,659.59 / $4,786.30