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Delaware rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.73 / $1,050.47 / $1,097.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,346.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,060.30 / $1,179.58 / $1,768.94