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Delaware rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.90 / $56.32 / $68.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $72.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $82.54 / $82.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.80 / $67.40 / $104.57