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Vermont rates for HCPCS L6647

Upper Extremity Addition Shoulder Lock Mechanism Body Powered Actuator

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.55 / $298.55 / $344.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $449.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $348.81 / $432.29
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.51 / $405.51 / $449.67
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $405.51 / $432.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.58 / $459.77 / $707.27