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Vermont rates for HCPCS L6695

Addition to upper extremity prosthesis, below elbow/above elbow, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, not for use with locking mechanism

Facilitymedian $562 · 10th–90th $437$5620%50%10th$562Professionalmedian $389 · 10th–90th $302$4680%20%10th90th$389$200.0$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
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$389.05
Typical High
$446.68
Cigna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$562.34
Typical High
$562.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$407.38
Typical High
$562.34
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$776.25
United
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$524.81
United
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$512.86
Typical High
$1,584.89