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Florida rates for HCPCS L5649

Addition to lower extremity, ischial containment/narrow M-L socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.48 / $1,314.74 / $1,506.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,176.34 / $1,314.74 / $2,131.19
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,073.77 / $2,147.54 / $2,577.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,800.00 / $1,800.00 / $1,800.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,314.00 / $1,314.00 / $1,872.98
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$991.76 / $1,265.44 / $1,416.80
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.44 / $1,771.00 / $2,863.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$928.53 / $1,428.52 / $1,571.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.05 / $1,428.51 / $1,717.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,428.52 / $1,428.52 / $1,428.52