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Delaware rates for HCPCS L2630

Addition to lower extremity, pelvic control, band and belt, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.81 / $114.81 / $127.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.32 / $174.32 / $174.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.25 / $127.25 / $174.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.31 / $139.18 / $209.65