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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
$51.29 / $57.54 / $288.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.10 / $83.18 / $93.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $67.61 / $104.71