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Vermont rates for HCPCS L8642

Hallux Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.30 / $166.30 / $191.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.47 / $302.83 / $302.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $257.41 / $311.93
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.47 / $302.83 / $302.83
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $302.83 / $311.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.66 / $224.66 / $269.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.34 / $256.10 / $393.96