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Florida rates for HCPCS L2387

Addition to lower extremity, polycentric knee joint, for custom fabricated knee-ankle-foot orthosis (KAFO), each joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.85 / $94.03 / $107.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.85 / $104.41 / $179.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.51 / $116.51 / $116.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.05 / $85.05 / $124.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.77 / $125.77 / $125.77
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.47 / $136.84 / $204.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.82 / $163.82 / $163.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.99 / $92.18 / $110.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.68 / $100.04 / $133.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.76 / $111.76 / $204.78