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Vermont rates for HCPCS L6645

Upper extremity addition, shoulder flexion-abduction joint, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $229.09 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.84 / $302.00 / $302.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $302.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $371.54 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $251.19 / $302.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $288.40 / $794.33