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Florida rates for HCPCS L6915

Hand restoration (shading and measurements included), replacement glove for above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$389.05 / $416.87 / $478.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $446.68 / $676.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$645.65 / $645.65 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $645.65
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $457.09
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $562.34 / $933.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $371.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $562.34 / $912.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $457.09 / $562.34
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $933.25