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Florida rates for HCPCS L5637

Addition to lower extremity, below knee (BK), total contact

Rates data updated July 2026.

How much does HCPCS L5637 cost?

$195

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $195 for this service. The price depends on where it is billed: about $195 from a physician practice, and about $182 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$195$158 to $257
FacilityA hospital or hospital-owned outpatient department$182$166 to $661

How much rates vary

Facilitymedian $182 · 10th to 90th $148 to $661Professionalmedian $195 · 10th to 90th $148 to $288
$200$500facility $182professional $195

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$147.91
Median
$165.96
Typical High
$181.97
Aetna
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$199.53
Typical High
$281.84
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$229.09
Median
$263.03
Typical High
$316.23
AvMed
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$354.81
AvMed
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$331.13
Typical High
$354.81
Cigna
Setting
Facility
Modifier
Global
Typical Low
$234.42
Median
$234.42
Typical High
$575.44
Cigna
Setting
Professional
Modifier
Global
Typical Low
$169.82
Median
$169.82
Typical High
$234.42
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$213.80
Typical High
$354.81
Molina
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$128.82
Typical High
$147.91
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$263.03
Typical High
$354.81
United
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$263.03
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$354.81

Where Florida sits

The same service costs 2.7 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 49th of 51

$195

HI $490DE $182

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.