go back

Vermont rates for HCPCS L6684

Upper extremity addition, test socket, shoulder disarticulation or interscapular thoracic

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $251.19 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $363.08
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $562.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $281.84 / $331.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $389.05 / $1,071.52