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Florida rates for HCPCS L5230

Above knee (AK), for proximal femoral focal deficiency, constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,949.35 / $2,096.46 / $2,401.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.35 / $2,401.92 / $3,398.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,853.06 / $2,853.06 / $2,853.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,082.73 / $2,082.73 / $2,938.65
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,581.72 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,058.79 / $3,208.70 / $4,565.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,217.74 / $1,873.46 / $2,060.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,960.76 / $2,277.89 / $3,432.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,873.46 / $1,873.46 / $2,762.88