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
$2,187.76 / $2,344.23 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,630.27 / $3,801.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,570.88 / $4,570.88 / $4,570.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $3,311.31 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $3,311.31
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $3,162.28 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,073.80 / $4,168.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,041.74 / $3,388.44 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,511.89 / $3,388.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $5,248.07