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Florida rates for HCPCS L2628

Addition to lower extremity, pelvic control, metal frame, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.77 / $1,043.68 / $1,195.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.55 / $1,043.68 / $1,990.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,179.41 / $1,179.41 / $1,179.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$860.97 / $860.97 / $1,194.75
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.36 / $1,395.87 / $1,395.87
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,083.38 / $1,406.00 / $2,273.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$710.35 / $1,092.84 / $1,202.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$855.00 / $1,110.32 / $1,350.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.84 / $1,092.84 / $1,130.79