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Vermont rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $43.65 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $35.48 / $52.48
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $75.86 / $104.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $39.81 / $61.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $63.10 / $173.78