go back

Delaware rates for HCPCS L4050

Replace molded calf lacer, for custom fabricated orthosis only

Facilitymedian $288 · 10th–90th $0–$4470%50%10th90th$288Professionalmedian $245 · 10th–90th $191–$1,1220%20%10th90th$245$0.5$2.0$10.0$50.0$200.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $245.47 / $1,122.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $288.40
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.37 / $302.00 / $446.68
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$208.93 / $234.42 / $354.81