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Vermont rates for HCPCS L6697

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$756.33 / $756.33 / $872.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.22 / $1,111.22 / $1,111.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.19 / $811.19 / $811.19
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.22 / $1,111.22 / $1,111.22
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$811.19 / $811.19 / $811.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.48 / $1,066.57 / $1,791.73