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Florida rates for HCPCS L6695

Addition To Upper Extremity Prosthesis Below Elbow/Above Elbow Custom

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$303.62 / $326.54 / $374.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.62 / $374.12 / $529.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$564.36 / $564.36 / $564.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$411.98 / $411.98 / $564.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.67 / $513.38 / $711.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.93 / $568.93 / $568.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.39 / $354.79 / $502.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$424.98 / $424.98 / $711.17