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Florida rates for HCPCS L5105

Below knee (BK), plastic socket, joints and thigh lacer, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,780.14 / $1,914.49 / $2,193.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,785.69 / $2,193.42 / $3,103.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,006.81 / $3,006.81 / $3,006.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,194.96 / $2,194.96 / $3,006.81
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,444.24 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.08 / $2,930.16 / $4,169.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,199.48 / $1,845.36 / $2,029.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,790.55 / $2,080.16 / $3,134.16
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,845.36 / $1,845.36 / $2,523.05