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Florida rates for HCPCS L6715

Terminal Device Multiple Articulating Digit Includes Motor(S) Initial Issue Or Replacement (Reinstated Code Previous Description Was Terminal Device Hook Dorrance Or Equal Model # 5xa (Special Coverage Instructions Apply. See Mcm: 2133)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,636.02 / $1,759.49 / $2,348.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.02 / $1,961.91 / $2,852.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,381.07 / $2,381.07 / $2,381.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,738.18 / $1,738.18 / $2,381.07
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
$2,299.19 / $2,945.94 / $3,832.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,065.60 / $3,065.60 / $3,065.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,699.03 / $1,911.75 / $2,618.15
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,053.24 / $3,053.24 / $3,832.00