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Florida rates for HCPCS L5643

Addition To Lower Extremity Hip Disarticulation Flexible Inner Socket External Frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$797.56 / $857.75 / $982.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.56 / $982.72 / $1,390.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,167.30 / $1,167.30 / $1,167.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.13 / $852.13 / $1,244.40
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$647.08 / $1,243.58 / $1,243.58
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.38 / $1,243.58 / $1,868.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.39 / $428.30 / $471.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$802.22 / $931.98 / $1,404.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.30 / $428.30 / $1,130.41