go back

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
$15.85 / $16.98 / $19.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $19.95 / $33.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $28.18 / $42.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.88 / $21.88 / $30.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.18 / $13.18 / $18.62
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $22.91 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $12.59 / $15.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $18.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.79 / $18.62 / $25.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.59 / $12.59 / $38.02