go back

Florida rates for HCPCS L6890

Addition to upper extremity prosthesis, glove for terminal device, any material, prefabricated, includes fitting and adjustment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.16 / $93.74 / $107.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.43 / $107.39 / $151.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $170.15 / $170.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.21 / $124.21 / $170.15
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.84 / $135.88 / $135.88
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.30 / $135.88 / $204.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.46 / $83.79 / $92.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.67 / $101.84 / $153.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $83.79 / $123.53