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Vermont rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Facilitymedian $437 · 10th–90th $257$5500%20%10th90th$437Professionalmedian $339 · 10th–90th $295$4470%20%10th90th$339$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $338.84 / $446.68
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $436.52 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $316.23 / $436.52
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $537.03 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $346.74 / $549.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $524.81 / $1,380.38