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Florida rates for HCPCS L5505

Initial, above knee (AK), knee disarticulation, ischial level socket, nonalignable system, pylon, no cover, SACH foot, plaster socket, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$910.21 / $978.90 / $1,121.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$910.21 / $1,121.52 / $1,586.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,620.00 / $1,620.00 / $1,620.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.59 / $1,182.59 / $1,620.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.64 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$961.30 / $1,498.23 / $2,131.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,705.56 / $1,705.56 / $1,705.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,783.46 / $2,783.46 / $2,783.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.53 / $1,063.60 / $1,569.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,275.38 / $1,275.38 / $2,131.96