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Delaware rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.53 / $153.53 / $215.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.02 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $291.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $184.46 / $184.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.19 / $186.11 / $280.36