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Florida rates for HCPCS L5707

Custom shaped protective cover, hip disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$634.25 / $682.11 / $781.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.25 / $781.49 / $1,105.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,232.20 / $1,232.20 / $1,232.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.51 / $899.51 / $1,232.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$988.92 / $988.92 / $988.92
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.85 / $988.92 / $1,485.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.74 / $788.84 / $867.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$637.96 / $741.14 / $1,116.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.84 / $788.84 / $898.44