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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
$74.97 / $80.63 / $92.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.20 / $92.38 / $130.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.00 / $113.00 / $113.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.49 / $82.49 / $120.47
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.76 / $116.92 / $116.92
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.70 / $116.92 / $175.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.60 / $93.24 / $102.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.41 / $87.61 / $131.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.24 / $93.24 / $106.26