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Vermont rates for HCPCS L6641

Upper Extremity Addition Excursion Amplifier Pulley Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.36 / $111.36 / $128.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $167.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $120.11
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.98 / $126.98 / $167.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $92.70 / $120.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.51 / $120.51 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.90 / $144.72 / $263.82