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Delaware rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,316.00 / $6,316.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.22 / $2,001.22 / $2,207.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,927.35 / $2,250.09 / $3,943.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,876.60 / $2,299.19 / $5,093.58