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Delaware rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $89.13 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $117.49 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.15 / $91.20 / $104.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $114.82 / $162.18