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Florida rates for HCPCS L5639

Addition To Lower Extremity Below Knee Wood Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.52 / $617.88 / $707.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.30 / $707.90 / $1,001.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.50 / $870.50 / $870.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.47 / $635.47 / $870.50
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.20 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.77 / $945.67 / $1,345.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.86 / $604.40 / $664.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.88 / $671.35 / $1,011.52
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.40 / $604.40 / $814.29