go back

Delaware rates for HCPCS L5964

Addition, endoskeletal system, above knee (AK), flexible protective outer surface covering system

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $562.34 / $2,570.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.89 / $676.08 / $851.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $676.08 / $954.99