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Florida rates for HCPCS L5200

Above knee (AK), molded socket, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,874.35 / $2,015.81 / $2,309.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,874.35 / $2,128.57 / $3,267.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,728.17 / $2,728.17 / $2,728.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,991.56 / $1,991.56 / $2,728.17
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,520.68 / $2,922.52 / $2,922.52
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,092.46 / $2,922.52 / $4,390.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,194.74 / $1,838.07 / $2,021.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,885.31 / $2,190.25 / $2,980.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,838.07 / $1,838.07 / $2,399.23