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Florida rates for HCPCS L4370

Pneumatic Full Leg Splint Prefabricated Off-The-Shelf (Revised 01/01/14)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.12 / $97.66 / $111.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.12 / $111.88 / $186.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.11 / $150.11 / $150.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.58 / $109.58 / $160.02
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.64 / $130.61 / $130.61
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.37 / $131.50 / $212.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.73 / $78.06 / $85.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.33 / $106.10 / $152.22
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $78.06 / $127.42