go back

Delaware rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.49 / $1,783.36 / $1,902.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $1,991.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,798.85 / $2,100.76 / $3,027.00