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Vermont rates for HCPCS L6310

Shoulder Disarticulation Passive Restoration (Complete Prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,777.39 / $1,777.39 / $2,050.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.02 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.25 / $2,878.19 / $3,235.77
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.02 / $3,141.52 / $3,141.52
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,268.25 / $3,141.52 / $3,235.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,211.39 / $2,737.18 / $4,210.63