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Florida rates for HCPCS L5987

All lower extremity prostheses, shank foot system with vertical loading pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,727.76 / $4,009.10 / $4,593.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,727.76 / $4,470.35 / $6,498.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,274.29 / $3,274.29 / $6,548.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,042.00 / $6,042.00 / $6,042.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.66 / $4,410.66 / $6,042.00
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,024.56 / $6,728.09 / $6,728.09
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,590.85 / $6,303.04 / $8,731.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,981.60 / $4,587.08 / $5,045.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,749.57 / $4,356.02 / $5,831.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,587.08 / $4,587.08 / $4,694.43