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Delaware rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $7,585.78 / $14,791.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,317.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $10,471.29 / $11,748.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,943.28 / $10,715.19 / $13,182.57