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California rates for HCPCS L2190

Addition To Lower Extremity Fracture Orthosis Waist Belt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.09 / $59.09 / $283.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.87 / $59.09 / $283.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.87 / $150.82 / $312.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.14 / $59.92 / $97.16
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.04 / $116.49 / $208.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.18 / $130.53 / $304.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.99 / $61.48 / $61.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $44.88 / $63.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $53.09 / $108.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.03 / $68.87 / $152.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.77 / $503.80 / $503.80
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.26 / $558.26 / $794.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.19 / $231.19 / $231.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31.69 / $86.15 / $103.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.88 / $61.48 / $93.64
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.70 / $185.70 / $185.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $75.20 / $78.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.60 / $29.60 / $29.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.57 / $49.09 / $98.38