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Vermont rates for HCPCS L6675

Upper Extremity Addition Harness (E.G. Figure Of Eight Type) Single Cable Design. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.79 / $93.79 / $108.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $96.02
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.07 / $90.07 / $141.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.75 / $90.07 / $96.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.91 / $144.43 / $222.18