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Florida rates for HCPCS L5859

Addition to lower extremity prosthesis, endoskeletal knee-shin system, powered and programmable flexion/extension assist control, includes any type motor(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $7,585.78 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,760.83 / $8,511.38 / $13,182.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $9,772.37 / $9,772.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,317.64 / $8,317.64 / $9,772.37
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $17,782.79
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,125.38 / $14,125.38 / $14,454.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,244.36 / $12,302.69 / $17,378.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,762.47 / $8,709.64 / $12,302.69
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $5,623.41 / $17,782.79