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Florida rates for HCPCS L2755

Addition to lower extremity orthosis, high strength, lightweight material, all hybrid lamination/prepreg composite, per segment, for custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.59 / $72.70 / $83.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.88 / $77.63 / $138.63
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.91 / $130.59 / $734.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.85 / $88.85 / $88.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.86 / $64.86 / $94.72
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.88 / $97.23 / $97.23
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.39 / $98.00 / $158.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.05 / $83.16 / $91.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.63 / $77.34 / $100.65
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.16 / $83.16 / $84.25