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Florida rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,658.75 / $2,859.41 / $3,276.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,658.75 / $3,276.01 / $4,635.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,366.38 / $4,366.38 / $4,366.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,187.46 / $3,187.46 / $4,366.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,157.12 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.01 / $4,376.38 / $6,227.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,980.86 / $3,047.49 / $3,352.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,674.30 / $3,106.84 / $4,681.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,047.49 / $3,047.49 / $3,768.32