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Delaware rates for HCPCS L5700

Replacement, socket, below knee (BK), molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.05 / $1,489.86 / $1,635.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $2,400.00 / $2,400.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.00 / $1,752.00 / $2,400.00
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,376.76 / $3,376.76 / $3,376.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,557.58 / $1,848.33 / $2,598.56