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Florida rates for HCPCS L5706

Custom Shaped Protective Cover Knee Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.09 / $517.40 / $592.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.09 / $592.79 / $838.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $957.73 / $957.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.14 / $699.14 / $957.73
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.10 / $791.89 / $1,126.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.92 / $598.35 / $658.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.23 / $595.23 / $595.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.91 / $562.17 / $822.21
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.35 / $598.35 / $661.90