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Florida rates for HCPCS L1902

Ankle Orthosis Ankle Gauntlet Or Similiar With Or Without Joints Prefabricated Off-The-Shelf (Revised 01/01/2016)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.34 / $42.49 / $48.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.51 / $48.68 / $93.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.70 / $69.41 / $92.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.00 / $58.00 / $58.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $42.34 / $58.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.92 / $56.82 / $56.82
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.10 / $57.00 / $92.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.40 / $42.16 / $46.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.74 / $46.17 / $64.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.16 / $42.16 / $53.88