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Florida rates for HCPCS L6677

Upper extremity addition, harness, triple control, simultaneous operation of terminal device and elbow

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $165.96 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $181.97 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $269.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $229.09
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $218.78 / $371.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $239.88 / $363.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $177.83 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $371.54