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Florida rates for HCPCS L4100

Replace Leather Cuff Kafo, Proximal Thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.81 / $55.20 / $63.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.81 / $63.24 / $105.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.43 / $73.43 / $73.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.60 / $53.60 / $77.45
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.72 / $73.83 / $73.83
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.30 / $74.50 / $120.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.70 / $39.54 / $43.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.69 / $59.98 / $84.10
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.54 / $39.54 / $70.40