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Florida rates for HCPCS L7402

Addition To Upper Extremity Prosthesis Shoulder Disarticulation/Interscapular Thoracic Ultralight Material (Titanium Carbon Fiber Or Equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.99 / $206.48 / $236.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.99 / $230.27 / $334.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.35 / $318.35 / $318.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $232.40 / $318.35
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
$202.78 / $324.64 / $449.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.76 / $359.76 / $359.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.12 / $224.35 / $300.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.00 / $243.00 / $449.71