go back

Delaware rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.22 / $168.12 / $193.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $232.98
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.94 / $398.94 / $398.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.01 / $218.36 / $339.67