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Vermont rates for HCPCS L8415

Prosthetic sheath, upper limb, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $15.14 / $19.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $25.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $17.38
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $28.18 / $34.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.22 / $14.45 / $20.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.75 / $25.70 / $70.79