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Delaware rates for HCPCS L6687

Upper extremity addition, frame type socket, below elbow or wrist disarticulation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.92 / $299.94 / $322.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.60 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $432.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.55 / $456.41 / $456.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.86 / $370.06 / $560.54