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Florida rates for HCPCS L6694

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.36 / $391.86 / $448.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.36 / $448.95 / $635.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.74 / $528.74 / $528.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.98 / $385.98 / $563.66
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.12 / $568.12 / $568.12
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $570.24 / $853.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.75 / $682.75 / $682.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.49 / $425.77 / $602.86
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$510.00 / $510.00 / $853.44