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Florida rates for HCPCS L5628

Addition To Lower Extremity Test Socket Hemipelvectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.24 / $280.95 / $321.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.24 / $321.89 / $455.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.82 / $499.82 / $499.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.87 / $364.87 / $499.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.96 / $407.33 / $407.33
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.63 / $407.33 / $611.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $182.14 / $200.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.30 / $382.03 / $385.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.76 / $305.27 / $435.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.14 / $182.14 / $350.66