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Vermont rates for HCPCS L6500

Above elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $2,238.72 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $2,951.21 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,951.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,715.35 / $4,897.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $2,454.71 / $2,951.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $3,162.28 / $8,709.64