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Florida rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,413.40 / $1,520.07 / $1,741.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.40 / $1,741.54 / $2,464.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,482.86 / $2,482.86 / $2,482.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,812.49 / $1,812.49 / $2,482.86
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,146.88 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.75 / $2,326.50 / $3,310.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.48 / $1,353.05 / $1,488.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.89 / $2,182.50 / $2,488.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,421.66 / $1,651.61 / $2,488.46
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,353.05 / $1,353.05 / $2,003.25