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Delaware rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Facilitymedian $195 · 10th–90th $0–$2290%20%10th90th$195Professionalmedian $148 · 10th–90th $132–$8130%50%10th90th$148$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $147.91 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$144.54 / $144.54 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $151.36 / $229.09
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$138.04 / $162.18 / $234.42