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Florida rates for HCPCS L5697

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.14 / $44.24 / $50.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.14 / $50.69 / $71.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.21 / $60.21 / $60.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.95 / $43.95 / $64.19
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.32 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.45 / $69.55 / $96.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.82 / $52.04 / $57.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.38 / $48.07 / $72.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.04 / $52.04 / $58.31