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Florida rates for HCPCS L5975

All Lower Extremity Prosthesis Combination Single Axis Ankle And Flexible Keel Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$240.24 / $258.38 / $296.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.24 / $288.08 / $418.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.03 / $362.03 / $362.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$264.27 / $264.27 / $362.03
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.58 / $374.58 / $374.58
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.77 / $374.58 / $562.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.15 / $301.77 / $331.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.64 / $280.73 / $375.80
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.77 / $301.77 / $302.54