go back

Florida rates for HCPCS L5654

Addition to lower extremity, socket insert, Symes, (Kemblo, Pelite, Aliplast, Plastazote or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.94 / $182.77 / $209.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.94 / $209.40 / $296.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.16 / $306.16 / $306.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.50 / $223.50 / $306.16
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.76 / $264.98 / $264.98
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.71 / $264.98 / $398.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.07 / $218.57 / $240.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.93 / $198.59 / $299.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.57 / $218.57 / $240.86