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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
$6,823.50 / $7,660.52 / $8,086.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,823.50 / $8,086.10 / $13,107.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,812.54 / $9,812.54 / $9,812.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,340.66 / $8,340.66 / $9,812.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,566.46 / $17,610.77 / $25,281.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,088.61 / $14,088.61 / $14,088.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,834.36 / $8,785.82 / $12,169.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,672.80 / $5,672.80 / $17,610.77