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Delaware rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,362.46 / $1,434.25 / $1,544.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $1,812.49 / $2,482.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.64 / $2,182.50 / $2,182.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.25 / $1,659.02 / $2,487.91