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Vermont rates for HCPCS L8415

Prosthetic Sheath Upper Limb Each (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.73 / $16.73 / $19.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $25.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $17.39
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $16.30 / $25.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.91 / $16.30 / $17.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.86 / $25.78 / $39.65