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Florida rates for HCPCS L6580

Preparatory, wrist disarticulation or below elbow, single wall plastic socket, friction wrist, flexible elbow hinges, figure of eight harness, humeral cuff, Bowden cable control, USMC or equal pylon, no cover, molded to patient model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$856.26 / $920.89 / $1,055.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$856.26 / $1,033.22 / $1,492.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.65 / $1,576.65 / $1,576.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.95 / $1,150.95 / $1,576.65
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$694.68 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$904.33 / $1,409.44 / $2,005.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$692.21 / $1,064.95 / $1,171.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.27 / $1,000.57 / $1,410.27
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,064.95 / $1,064.95 / $1,135.28