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Vermont rates for HCPCS L8485

Prosthetic sock, single ply, fitting, upper limb, each

Facilitymedian $10 · 10th–90th $9–$100%20%40%10th90th$10Professionalmedian $7 · 10th–90th $5–$90%10%20%10th90th$7$5.0$10.0$20.0$50.0

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
$5.01 / $6.03 / $7.94
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.55 / $9.55 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $9.55
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $10.96 / $13.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $8.71 / $10.47
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $10.23 / $28.18