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Delaware rates for HCPCS L5050

Ankle, Symes, molded socket, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,133.60 / $1,230.08 / $1,284.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.13 / $2,084.13 / $2,084.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,521.41 / $1,521.41 / $2,084.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.19 / $1,815.91 / $1,815.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$916.13 / $1,449.02 / $2,070.03