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Vermont rates for HCPCS L6050

Wrist disarticulation, molded socket, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,380.38 / $1,698.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,862.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,479.11
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,454.71 / $3,019.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $1,513.56 / $1,819.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,905.46 / $5,248.07