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Delaware rates for HCPCS L5856

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing and stance phase, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,471.29 / $12,589.25 / $24,547.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,218.10 / $16,218.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,748.98 / $11,748.98 / $11,748.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $16,982.44 / $19,498.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,882.50 / $15,135.61 / $21,379.62