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Vermont rates for HCPCS L6625

Upper extremity addition, rotation wrist unit with cable lock

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $380.19 / $478.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $416.87
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $660.69 / $851.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $426.58 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $645.65 / $1,778.28