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Vermont rates for HCPCS L5990

Addition To Lower Extremity Prosthesis User Adjustable Heel Height

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.15 / $1,043.15 / $1,203.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,571.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,218.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.54 / $1,222.54 / $1,571.14
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.45 / $892.45 / $1,218.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.97 / $1,470.66 / $2,471.21