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Delaware rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.10 / $266.39 / $301.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.82 / $499.82 / $499.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $364.87 / $499.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.46 / $382.03 / $382.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.58 / $346.02 / $486.47