go back

Florida rates for HCPCS L5782

Addition to lower limb prosthesis, vacuum pump, residual limb volume management and moisture evacuation system, heavy-duty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,185.83 / $2,350.79 / $2,693.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.83 / $2,621.25 / $3,810.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,327.88 / $3,327.88 / $3,327.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,294.10 / $3,294.10 / $3,294.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.69 / $2,404.69 / $3,294.10
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,408.20 / $3,408.20 / $3,408.20
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,565.05 / $3,420.91 / $5,119.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,095.84 / $4,095.84 / $4,095.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,198.61 / $2,554.21 / $3,419.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,779.11 / $2,779.11 / $5,119.81