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Florida rates for HCPCS L6642

Upper extremity addition, excursion amplifier, lever type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.42 / $119.83 / $137.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.77 / $137.30 / $194.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.10 / $225.10 / $225.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.32 / $164.32 / $225.10
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.44 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.68 / $183.40 / $260.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.68 / $71.81 / $79.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.31 / $172.06 / $173.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.08 / $130.21 / $196.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.81 / $71.81 / $157.93