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Delaware rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.18 / $16.18 / $23.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $38.86 / $39.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.90 / $19.61 / $29.55