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Florida rates for HCPCS L4090

Replace metal bands KAFO-AFO, calf or distal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.16 / $48.94 / $56.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.00 / $52.34 / $93.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.72 / $66.72 / $66.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.71 / $48.71 / $66.72
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.96 / $65.45 / $65.45
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.80 / $66.00 / $106.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $44.20 / $48.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.98 / $61.98 / $61.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $53.13 / $72.81
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $44.20 / $60.95