go back

Delaware rates for HCPCS L5680

Addition to lower extremity, below knee (BK), thigh lacer, nonmolded

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.08 / $172.35 / $193.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.28 / $228.28 / $228.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.64 / $166.64 / $228.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.25 / $222.21 / $345.64