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Florida rates for HCPCS L6638

Upper extremity addition to prosthesis, electric locking feature, only for use with manually powered elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,295.85 / $1,393.66 / $1,596.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.85 / $1,554.02 / $2,259.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,952.91 / $1,952.91 / $1,952.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.62 / $1,425.62 / $1,952.91
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,135.73 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,368.62 / $2,191.10 / $3,035.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.21 / $2,428.21 / $2,428.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,303.45 / $1,514.26 / $2,027.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,647.60 / $1,647.60 / $3,035.27