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Florida rates for HCPCS L4205

Repair Of Orthotic Device Labor Component Per 15 Minutes (Special Coverage Instructions Apply. See Mcm: 2100.4)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.40 / $12.00 / $12.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $12.00 / $23.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.22 / $22.22 / $22.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $23.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.91 / $19.91 / $19.91
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $20.21 / $29.90
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $10.73 / $11.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.99 / $14.26 / $20.53
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.73 / $10.73 / $25.00