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Vermont rates for HCPCS L8400

Prosthetic Sheath Below Knee Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.49 / $10.49 / $12.11
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.39 / $17.39 / $17.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $15.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $15.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.44 / $14.44 / $15.81
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $15.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $16.16 / $24.86