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Florida rates for HCPCS L5855

Addition Endoskeletal System Hip Disarticulation Mechanical Hip Extension Assist

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.15 / $189.44 / $217.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.15 / $197.57 / $307.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.78 / $239.78 / $239.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.04 / $175.04 / $239.78
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.80 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.03 / $289.94 / $412.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.40 / $219.09 / $240.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.02 / $247.02 / $247.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.17 / $205.83 / $278.63
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.09 / $219.09 / $224.29