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Florida rates for HCPCS 21175

Rcnstj Bifrontal Superior-Lat Orb Rims & Lwr Fhd

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,376.00 / $3,807.00 / $11,901.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,859.76 / $2,175.55 / $2,932.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.00 / $400.00 / $10,000.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,820.29 / $2,821.76 / $4,748.83
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,979.00 / $12,804.00 / $23,031.00
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.27 / $2,189.65 / $2,614.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.66 / $1,599.52 / $2,801.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,771.00 / $10,309.00 / $15,888.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,661.74 / $2,306.27 / $4,349.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,696.12 / $1,696.12 / $1,958.93