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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
$1,348.96 / $1,949.84 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,951.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $2,454.71
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,090.30 / $3,388.44 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,949.84 / $2,511.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $3,019.95 / $8,317.64