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Vermont rates for HCPCS L6882

Microprocessor Control Feature Addition To Upper Limb Prosthetic Terminal Device (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,783.10 / $1,783.10 / $2,057.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,685.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,082.79 / $2,414.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,264.80 / $2,264.80 / $2,685.64
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,653.30 / $2,264.80 / $2,414.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.29 / $2,513.88 / $4,224.17