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Florida rates for HCPCS L5638

Addition to lower extremity, below knee (BK), leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.87 / $277.33 / $317.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.25 / $311.33 / $449.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.81 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $492.98
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.16 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.35 / $424.47 / $604.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $182.14 / $200.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.38 / $301.33 / $439.06
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.14 / $182.14 / $353.46