go back

Florida rates for HCPCS L5781

Addition To Lower Limb Prosthesis Vacuum Pump Residual Limb Volume Management And Moisture Evacuation System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.39 / $2,229.87 / $2,554.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,073.39 / $2,486.42 / $3,614.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,370.81 / $4,370.81 / $4,370.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,886.72 / $2,886.72 / $2,886.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,107.31 / $2,107.31 / $3,057.52
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.17 / $2,645.89 / $2,645.89
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,595.96 / $3,244.95 / $4,856.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.16 / $3,885.16 / $3,885.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,753.36 / $5,753.36 / $5,753.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.52 / $2,422.83 / $3,243.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,902.12 / $2,902.12 / $4,856.45