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Vermont rates for HCPCS L6638

Upper Extremity Addition To Prosthesis Electric Locking Feature Only For Use With Manually Powered Elbow

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,437.90 / $1,437.90 / $1,659.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $2,165.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,679.69 / $2,081.90
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $2,165.69
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,952.91 / $2,081.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,019.20 / $2,214.36 / $3,406.37