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Vermont rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Facilitymedian $16 · 10th–90th $11–$250%20%40%10th90th$16Professionalmedian $16 · 10th–90th $11–$190%20%10th90th$16$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.22
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $33.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $14.45 / $20.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $21.38 / $69.18