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Florida rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,035.20 / $1,113.32 / $1,275.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.20 / $1,241.43 / $1,804.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.06 / $1,818.53 / $2,182.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,346.19 / $1,346.19 / $1,346.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$982.72 / $982.72 / $1,435.11
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,614.10 / $1,614.10 / $1,614.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.09 / $1,614.10 / $2,424.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$845.22 / $1,300.34 / $1,430.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,041.25 / $1,209.66 / $1,619.40
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,300.34 / $1,300.34 / $1,303.64