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Florida rates for HCPCS L5640

Addition to lower extremity, knee disarticulation, leather socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $354.81 / $407.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $575.44 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $416.87 / $575.44
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $380.19
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $467.74 / $776.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $501.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $575.44 / $758.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $380.19 / $575.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $776.25