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Vermont rates for HCPCS L6691

Upper Extremity Addition Removable Insert Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.57 / $269.57 / $311.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $406.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $292.66
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.52 / $274.52 / $406.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $274.52 / $292.66
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.73 / $327.23 / $638.61