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Florida rates for HCPCS L6628

Upper Extremity Addition Quick Disconnect Hook Adapter Otto Bock Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $264.00 / $302.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $302.47 / $427.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$444.49 / $444.49 / $444.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.48 / $324.48 / $444.49
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.08 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.26 / $404.06 / $574.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.45 / $305.31 / $335.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.00 / $108.00 / $108.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.91 / $286.85 / $432.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.31 / $305.31 / $347.92