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Vermont rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.84 / $337.84 / $389.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $508.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $461.17
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $508.84
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $461.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.41 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.26 / $520.39 / $575.65