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Vermont rates for HCPCS L6689

Upper extremity addition, frame type socket, shoulder disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $489.78 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $645.65 / $645.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $645.65
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $812.83 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $436.52 / $645.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $616.60 / $1,737.80