go back

Florida rates for HCPCS L5701

Replacement, socket, above knee (AK)/knee disarticulation, including attachment plate, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,763.19 / $1,896.26 / $2,172.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,763.19 / $2,172.54 / $3,073.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,097.42 / $3,097.42 / $3,716.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,550.04 / $2,550.04 / $2,550.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,861.53 / $1,861.53 / $2,907.84
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,430.52 / $2,991.02 / $2,991.02
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,968.38 / $2,981.27 / $4,129.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.39 / $2,192.92 / $2,412.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,441.30 / $5,441.30 / $5,441.30
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.50 / $2,060.36 / $3,067.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,192.92 / $2,192.92 / $2,469.42