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Florida rates for HCPCS L6629

Upper extremity addition, quick disconnect lamination collar with coupling piece, Otto Bock or equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $79.43 / $93.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $93.33 / $131.83
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $112.20 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $83.18 / $112.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $60.26 / $87.10
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $107.15 / $177.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $93.33 / $117.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $131.83 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.86 / $87.10 / $131.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $177.83