go back

Florida rates for HCPCS L5613

Addition To Lower Extremity Endoskeletal System Above Knee- Knee Disarticulation 4 Bar Linkage With Hydraulic Swing Phase Control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,290.81 / $1,388.23 / $1,590.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,290.81 / $1,567.83 / $2,250.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.78 / $1,902.78 / $1,902.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,389.03 / $1,389.03 / $1,902.78
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.20 / $2,012.65 / $2,012.65
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.01 / $2,012.65 / $3,023.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,183.92 / $1,821.42 / $2,003.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,298.34 / $1,508.36 / $2,210.98
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,821.42 / $1,821.42 / $1,821.42