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Florida rates for HCPCS L5642

Addition To Lower Extremity Above Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.48 / $341.44 / $391.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.47 / $391.19 / $553.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.41 / $530.41 / $530.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$387.20 / $387.20 / $519.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.60 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.30 / $522.60 / $743.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.10 / $398.63 / $438.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $370.99 / $558.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.63 / $398.63 / $449.98