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Florida rates for HCPCS L5100

Below knee (BK), molded socket, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,233.11 / $1,326.18 / $1,519.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.11 / $1,513.36 / $2,149.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,743.07 / $1,743.07 / $1,743.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.44 / $1,272.44 / $1,743.07
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.44 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.34 / $2,029.78 / $2,888.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.66 / $1,477.95 / $1,625.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,240.33 / $1,440.94 / $2,096.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,477.95 / $1,477.95 / $1,687.98