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Florida rates for HCPCS L5650

Additions to lower extremity, total contact, above knee (AK) or knee disarticulation socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.16 / $269.04 / $308.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.94 / $308.23 / $436.11
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.73 / $439.46 / $527.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.03 / $379.03 / $379.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.69 / $276.69 / $370.90
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $390.04 / $390.04
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.26 / $390.04 / $585.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.65 / $104.08 / $114.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.62 / $292.32 / $440.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.08 / $104.08 / $354.55