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Florida rates for HCPCS L5972

All lower extremity prostheses, foot, flexible keel

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.39 / $209.06 / $239.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.39 / $225.47 / $338.90
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.95 / $341.50 / $341.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.77 / $293.77 / $293.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.45 / $214.45 / $302.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.63 / $303.10 / $303.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.01 / $303.10 / $455.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.46 / $189.95 / $208.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.00 / $564.00 / $564.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.53 / $227.15 / $317.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.95 / $189.95 / $255.97