go back

Delaware rates for HCPCS L5672

Addition to lower extremity, below knee (BK), removable medial brim suspension

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $204.17 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $295.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $190.55 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $239.88 / $338.84