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Florida rates for HCPCS L7401

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.80 / $191.22 / $219.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.80 / $213.22 / $309.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.94 / $267.94 / $267.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.60 / $195.60 / $267.94
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99,999.99 / $99,999.99 / $99,999.99
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.78 / $300.63 / $416.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.18 / $333.18 / $333.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.84 / $207.77 / $278.26
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.87 / $248.87 / $416.48