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Delaware rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.25 / $203.43 / $233.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $248.05
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.53 / $488.53 / $488.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.67 / $264.23 / $411.02