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Vermont rates for HCPCS L6615

Upper extremity addition, disconnect locking wrist unit

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.75 / $101.75 / $117.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.24 / $175.58 / $175.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $187.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.24 / $175.58 / $175.58
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.16 / $175.58 / $187.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.92 / $166.13 / $173.37