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Florida rates for HCPCS L5857

Addition to lower extremity prosthesis, endoskeletal knee-shin system, microprocessor control feature, swing phase only, includes electronic sensor(s), any type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,365.16 / $4,786.30 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,365.16 / $5,248.07 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $6,606.93 / $7,762.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,897.79 / $4,897.79 / $6,606.93
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,344.23 / $6,309.57 / $10,471.29
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $8,511.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,168.69 / $6,918.31 / $10,232.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,466.84 / $5,128.61 / $6,918.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $10,471.29