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Delaware rates for HCPCS L5620

Addition to lower extremity, test socket, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.33 / $144.57 / $157.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.59 / $209.59 / $209.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.00 / $153.00 / $209.59
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.86 / $325.86 / $325.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $219.98 / $219.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.31 / $166.47 / $250.77