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Vermont rates for HCPCS L6055

Wrist disarticulation, molded socket with expandable interface, flexible elbow hinges, triceps pad

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,945.91 / $1,945.91 / $2,245.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,930.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,275.89 / $2,550.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,476.09 / $2,476.09 / $2,930.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $2,550.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.29 / $2,996.70 / $4,609.85