go back

Florida rates for HCPCS L6895

Addition to upper extremity prosthesis, glove for terminal device, any material, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.59 / $346.74 / $398.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $389.05 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $309.03 / $416.87
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $263.03 / $371.54
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $457.09 / $758.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $602.56 / $616.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $501.19 / $741.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $371.54 / $501.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $758.58