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Florida rates for HCPCS L5617

Addition to lower extremity, quick change self-aligning unit, above knee (AK) or below knee (BK), each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$289.93 / $311.81 / $357.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.93 / $347.69 / $505.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.96 / $436.96 / $436.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.98 / $318.98 / $436.96
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.20 / $452.05 / $452.05
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.67 / $452.05 / $679.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.27 / $346.58 / $381.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.63 / $338.80 / $456.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.58 / $346.58 / $367.46