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Florida rates for HCPCS L5624

Addition to lower extremity, test socket, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.30 / $200.36 / $229.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.30 / $229.55 / $324.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.63 / $327.27 / $392.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$311.77 / $311.77 / $311.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.60 / $227.60 / $311.77
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.19 / $290.48 / $290.48
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.98 / $290.48 / $436.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.65 / $174.86 / $192.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.39 / $217.69 / $328.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.86 / $174.86 / $264.10