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Florida rates for HCPCS L5626

Addition to lower extremity, test socket, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.31 / $262.75 / $301.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.31 / $301.04 / $425.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$493.58 / $493.58 / $493.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.31 / $360.31 / $493.58
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.24 / $380.95 / $380.95
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.74 / $380.95 / $572.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $182.14 / $200.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.01 / $763.01 / $763.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.75 / $285.49 / $430.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.14 / $182.14 / $346.27