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Vermont rates for HCPCS L6693

Upper Extremity Addition Locking Elbow Forearm Counterbalance

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,632.40 / $1,632.40 / $1,883.54
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,706.36 / $2,706.36 / $2,706.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,458.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $1,906.95 / $2,363.51
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,217.07 / $2,217.07 / $2,458.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.46 / $2,217.07 / $2,363.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,018.42 / $2,018.42 / $2,418.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,112.57 / $2,301.38 / $3,867.14