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Florida rates for HCPCS L5976

All lower extremity prostheses, energy storing foot (Seattle Carbon Copy II or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.97 / $308.63 / $353.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.86 / $353.60 / $500.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$420.01 / $420.01 / $420.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.61 / $306.61 / $447.75
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.96 / $447.45 / $447.45
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.37 / $447.45 / $672.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.95 / $312.24 / $343.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.64 / $335.33 / $505.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.24 / $312.24 / $406.73