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Delaware rates for HCPCS L5668

Addition to lower extremity, below knee (BK), molded distal cushion

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $56.23 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $79.43 / $91.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $66.07 / $93.33