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Florida rates for HCPCS L5631

Addition to lower extremity, above knee (AK) or knee disarticulation, acrylic socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.15 / $242.14 / $277.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.85 / $277.42 / $392.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.76 / $395.52 / $474.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$329.53 / $329.53 / $329.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.56 / $240.56 / $333.82
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.56 / $351.06 / $351.06
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.34 / $351.06 / $527.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.30 / $208.16 / $228.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.46 / $263.08 / $396.41
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.16 / $208.16 / $319.11