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Vermont rates for HCPCS L8417

Prosthetic sheath/sock, including a gel cushion layer, below knee (BK) or above knee (AK), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.17 / $43.17 / $49.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $65.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.45 / $54.00
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.66 / $50.66 / $65.03
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.97 / $50.66 / $54.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.85 / $70.48 / $73.56