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Florida rates for HCPCS L5696

Addition to lower extremity, above knee (AK) or knee disarticulation, pelvic joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $100.00 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $123.03 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $138.04
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $77.62 / $109.65
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $134.90 / $229.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $100.00 / $123.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $165.96 / $223.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $109.65 / $165.96
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $229.09