go back

Vermont rates for HCPCS L6665

Upper extremity addition, Teflon, or equal, cable lining

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $32.36 / $39.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $34.67 / $48.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $37.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $63.10 / $74.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.54 / $29.51 / $43.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $50.12 / $141.25