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Vermont rates for HCPCS L6703

Terminal device, passive hand/mitt, any material, any size

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $234.42 / $309.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $199.53 / $275.42
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $309.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $346.74 / $977.24