go back

Florida rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,176.21 / $2,340.44 / $2,681.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,176.21 / $2,674.76 / $3,793.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,578.08 / $3,578.08 / $3,578.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,612.00 / $2,612.00 / $3,501.18
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,765.68 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,298.38 / $3,679.62 / $5,097.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,447.76 / $2,227.33 / $2,450.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,188.94 / $2,542.96 / $3,632.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,227.33 / $2,227.33 / $2,924.35