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Delaware rates for HCPCS L4130

Replace pretibial shell

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.26 / $234.26 / $301.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $373.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $276.36 / $276.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.19 / $283.97 / $427.77