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Delaware rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $20.89 / $95.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $21.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.04 / $31.62 / $52.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $25.70 / $36.31