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Vermont rates for HCPCS L6642

Upper Extremity Addition Excursion Amplifier Lever Type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.77 / $155.77 / $179.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $234.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $200.25 / $231.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $234.62
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.40 / $225.10 / $231.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.06 / $172.06 / $172.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.41 / $239.89 / $369.03