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Delaware rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.92 / $266.25 / $286.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$452.18 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $452.18
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.54 / $614.54 / $614.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.83 / $328.50 / $461.84