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Vermont rates for HCPCS L7402

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.05 / $213.05 / $245.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $232.40 / $339.37
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $318.35 / $339.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.66 / $328.10 / $504.72