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Florida rates for HCPCS L5695

Addition to lower extremity, above knee (AK), pelvic control, sleeve suspension, neoprene or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.82 / $92.29 / $105.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.82 / $105.74 / $149.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122.31 / $122.31 / $122.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.29 / $89.29 / $123.90
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.72 / $133.81 / $133.81
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.81 / $133.81 / $200.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.58 / $96.28 / $105.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.32 / $100.28 / $147.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.28 / $96.28 / $118.44