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Delaware rates for HCPCS L5676

Additions to lower extremity, below knee (BK), knee joints, single axis, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.00 / $188.43 / $202.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.77 / $271.77 / $271.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.39 / $198.39 / $271.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.94 / $434.94 / $434.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.92 / $232.49 / $326.85