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Florida rates for HCPCS L5698

Addition to lower extremity, above knee (AK) or knee disarticulation, Silesian bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.27 / $72.34 / $82.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.60 / $72.34 / $117.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.66 / $112.66 / $141.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.25 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $91.18
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.60 / $104.90 / $104.90
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.09 / $104.90 / $157.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.73 / $78.06 / $85.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.16 / $82.54 / $83.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.46 / $78.61 / $94.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.06 / $78.06 / $78.06