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Delaware rates for HCPCS L5321

Above knee (AK), molded socket, open end, SACH foot, endoskeletal system, single axis knee

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.49 / $1,761.66 / $2,073.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,481.10 / $2,481.10 / $2,481.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $2,481.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.14 / $2,600.65 / $2,600.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,776.97 / $2,223.42 / $3,280.06