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Florida rates for HCPCS L5629

Addition to lower extremity, below knee, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.85 / $175.14 / $200.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.36 / $200.66 / $283.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $286.07 / $343.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$248.05 / $248.05 / $248.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.08 / $181.08 / $248.05
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.16 / $253.92 / $253.92
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.80 / $253.92 / $381.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $130.10 / $143.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.80 / $190.30 / $286.70
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $130.10 / $230.81