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Delaware rates for HCPCS L5858

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,128.31 / $9,772.37 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,454.40 / $14,454.40 / $14,454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $10,715.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $13,182.57 / $15,135.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,772.37 / $11,748.98 / $16,595.87