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Florida rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.90 / $792.51 / $907.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.19 / $907.98 / $1,284.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $1,232.72
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.79 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$778.27 / $1,212.96 / $1,726.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.80 / $1,380.80 / $1,380.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.20 / $861.09 / $1,297.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,054.47 / $1,054.47 / $1,726.01