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Vermont rates for HCPCS L6925

Wrist disarticulation, external power, self-suspended inner socket, removable forearm shell, Otto Bock or equal electrodes, cables, two batteries and one charger, myoelectronic control of terminal device

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $5,495.41 / $6,165.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $7,244.36 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,248.07 / $5,248.07 / $7,244.36
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $9,120.11 / $12,302.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $5,128.61 / $7,244.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,715.35 / $7,943.28 / $22,387.21