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Florida rates for HCPCS L5678

Additions to lower extremity, below knee (BK), joint covers, pair

Facilitymedian $23 · 10th–90th $20–$390%50%10th90th$23Professionalmedian $25 · 10th–90th $20–$370%20%40%10th90th$25$0.1$0.2$1.0$5.0$20.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $20.89 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $37.15
AvMed
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $48.98 / $48.98
AvMed
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $45.71 / $48.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $87.10
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $29.51
Florida Blue
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $16.60 / $23.44
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $28.84 / $48.98
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.76 / $10.47 / $12.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $35.48 / $64.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.99 / $35.48
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $10.47 / $48.98