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Florida rates for HCPCS L5637

Addition To Lower Extremity Below Knee Total Contact

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.03 / $159.21 / $182.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.50 / $182.40 / $258.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.03 / $260.06 / $312.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.98 / $232.98 / $232.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.08 / $170.08 / $273.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.12 / $230.81 / $230.81
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.26 / $230.81 / $346.74
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.56 / $130.10 / $143.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.90 / $172.98 / $260.57
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $130.10 / $209.81