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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
$392.24 / $421.84 / $483.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.44 / $421.84 / $683.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$644.36 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $644.36
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.36 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.26 / $645.63 / $918.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.80 / $296.63 / $326.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.86 / $458.34 / $564.79
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.63 / $296.63 / $455.39