go back

Vermont rates for HCPCS L6130

Below elbow, molded double wall split socket, stump activated locking hinge, half cuff

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,700.58 / $1,700.58 / $1,962.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,561.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,051.46 / $2,554.21
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,479.82 / $2,479.82 / $2,561.34
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,810.27 / $2,479.82 / $2,554.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.41 / $2,618.90 / $4,028.68