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Delaware rates for HCPCS L5647

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.92 / $413.63 / $445.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.58 / $596.58 / $596.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.50 / $435.50 / $435.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.76 / $629.41 / $629.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.07 / $510.34 / $728.88