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Florida rates for HCPCS L5647

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $436.52 / $501.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $501.19 / $741.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $724.44 / $851.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $602.56 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $436.52 / $602.56
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $467.74
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $588.84 / $977.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $288.40 / $354.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $724.44 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $478.63 / $724.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $977.24