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Florida rates for HCPCS L4130

Replace Pretibial Shell

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.43 / $301.91 / $345.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.97 / $302.32 / $575.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$373.57 / $373.57 / $373.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.70 / $272.70 / $373.57
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$227.64 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.48 / $470.00 / $657.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.28 / $311.20 / $342.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.83 / $276.36 / $364.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.19 / $317.80 / $400.04
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.20 / $311.20 / $334.87