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Florida rates for HCPCS L7400

Addition To Upper Extremity Prosthesis Below Elbow Elbow/Wrist Disarticulation Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.83 / $170.81 / $195.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.83 / $190.46 / $276.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.35 / $239.35 / $239.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.73 / $174.73 / $234.20
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.65 / $247.65 / $247.65
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.86 / $248.57 / $372.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.61 / $297.61 / $297.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.76 / $185.59 / $250.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.31 / $222.31 / $372.02