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Vermont rates for HCPCS L6628

Upper Extremity Addition Quick Disconnect Hook Adapter Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.18 / $333.18 / $384.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $501.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $383.14 / $457.82
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $501.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $444.49 / $457.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.16 / $404.44 / $789.29