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Florida rates for HCPCS L5656

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.20 / $207.78 / $238.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.80 / $238.05 / $336.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.84 / $335.84 / $335.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.16 / $245.16 / $328.62
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.80 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.04 / $326.68 / $452.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.21 / $234.18 / $257.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.33 / $225.76 / $334.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.18 / $234.18 / $269.42