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Florida rates for HCPCS L1755

Legg Perthes orthosis, (Patten bottom type), custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$769.92 / $853.24 / $977.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$769.92 / $977.55 / $1,627.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.53 / $1,395.53 / $1,395.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.74 / $1,018.74 / $1,365.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.72 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$837.90 / $1,305.88 / $1,858.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.77 / $785.81 / $864.39
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$737.24 / $907.73 / $1,276.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$785.81 / $785.81 / $1,068.58