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Delaware rates for HCPCS L5685

Addition to lower extremity prosthesis, below knee, suspension/sealing sleeve, with or without valve, any material, each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.11 / $67.34 / $71.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.03 / $100.03 / $100.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.02 / $73.02 / $100.03
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.38 / $147.38 / $147.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.98 / $80.66 / $113.41