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Vermont rates for HCPCS L7401

Addition To Upper Extremity Prosthesis Above Elbow Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.29 / $197.29 / $227.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $285.63
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $267.94 / $285.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.46 / $278.14 / $467.37