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Florida rates for HCPCS L5622

Addition to lower extremity, test socket, knee disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.77 / $199.79 / $228.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.35 / $228.89 / $323.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.54 / $274.54 / $274.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.41 / $200.41 / $274.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.63 / $289.67 / $289.67
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.39 / $289.67 / $435.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $182.14 / $200.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.85 / $217.07 / $327.07
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.14 / $182.14 / $263.30