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Vermont rates for HCPCS L6692

Upper Extremity Addition Silicone Gel Insert Or Equal Each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.73 / $364.73 / $420.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.69 / $604.69 / $604.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $549.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $418.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.41 / $419.41 / $549.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.17 / $306.17 / $418.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.58 / $504.53 / $864.05