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Florida rates for HCPCS L5677

Additions to lower extremity, below knee (BK), knee joints, polycentric, pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.66 / $271.72 / $311.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.66 / $311.31 / $440.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.78 / $400.78 / $400.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.57 / $292.57 / $421.64
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204.96 / $393.96 / $393.96
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.06 / $393.96 / $591.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.24 / $271.14 / $298.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.13 / $295.24 / $444.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.14 / $271.14 / $358.10