go back

Florida rates for HCPCS L5570

Preparatory Above Knee - Knee Disarticulation Ischial Level Socket Non-Alignable System Pylon No Cover Sach Foot Thermoplastic Or Equal Direct Formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.42 / $1,113.57 / $1,275.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.42 / $1,275.81 / $1,805.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.38 / $1,769.38 / $1,769.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,291.65 / $1,291.65 / $1,769.38
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$840.00 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,093.55 / $1,704.35 / $2,425.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,940.20 / $1,940.20 / $1,940.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.49 / $1,209.93 / $1,823.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,481.65 / $1,481.65 / $2,425.26