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Florida rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.63 / $17.32 / $19.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.09 / $19.85 / $33.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.03 / $28.28 / $28.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.97 / $29.97 / $29.97
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $28.51
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.16 / $23.18 / $23.18
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $23.50 / $37.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.11 / $12.49 / $13.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.20 / $18.82 / $27.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.49 / $12.49 / $22.11