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Delaware rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,489.60 / $9,046.94 / $9,620.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,752.32 / $12,752.32 / $12,752.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,309.19 / $9,309.19 / $12,752.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,292.12 / $11,626.79 / $15,502.39