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Vermont rates for HCPCS L6890

Addition To Upper Extremity Prosthesis Glove For Terminal Device Any

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.16 / $110.16 / $127.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.91 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $161.19 / $181.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.91 / $170.15 / $170.15
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $170.15 / $181.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.08 / $153.44 / $260.97