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Delaware rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.09 / $174.09 / $197.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $293.77
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.05 / $418.05 / $418.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.54 / $226.11 / $773.78