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Florida rates for HCPCS L5671

Addition to lower extremity, below knee (BK)/above knee (AK) suspension locking mechanism (shuttle, lanyard, or equal), excludes socket insert

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.64 / $316.89 / $363.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.75 / $326.30 / $513.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.82 / $517.64 / $621.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.63 / $380.63 / $380.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.86 / $277.86 / $380.63
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.24 / $459.43 / $459.43
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.91 / $461.14 / $690.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.70 / $404.16 / $444.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.38 / $344.32 / $451.90
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.16 / $404.16 / $404.16