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Florida rates for HCPCS L3640

Transfer of an orthosis from one shoe to another, Dennis Browne splint (Riveton), both shoes

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.69 / $24.04 / $27.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.81 / $25.30 / $45.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.33 / $36.33 / $36.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.52 / $26.52 / $32.97
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.68 / $32.18 / $32.18
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.61 / $32.18 / $52.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.66 / $24.10 / $26.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.72 / $23.01 / $27.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.96 / $25.58 / $33.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.10 / $24.10 / $27.88