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Delaware rates for HCPCS L6895

Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $331.13 / $1,778.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $309.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $338.84 / $501.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $398.11 / $562.34