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Florida rates for HCPCS L5795

Addition, exoskeletal system, hip disarticulation, ultra-light material (titanium, carbon fiber or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.58 / $788.94 / $903.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.91 / $788.94 / $1,278.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$908.11 / $908.11 / $908.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.92 / $662.92 / $815.72
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.28 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$774.77 / $1,240.36 / $1,718.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$733.96 / $1,129.17 / $1,242.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,718.25 / $1,718.25 / $1,718.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$642.91 / $857.21 / $975.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.17 / $1,129.17 / $1,129.17