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California rates for HCPCS L2397

Addition To Lower Extremity Orthosis Suspension Sleeve

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.05 / $76.05 / $429.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.28 / $76.04 / $96.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.22 / $88.24 / $88.47
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.75 / $214.89 / $472.59
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $76.87 / $136.77
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $176.27 / $314.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.45 / $197.54 / $460.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.59 / $92.98 / $92.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $170.63
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $73.39 / $163.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.33 / $104.22 / $230.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$247.06 / $707.18 / $707.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.96 / $736.96 / $997.43
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.53 / $396.53 / $396.53
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.78 / $126.55 / $148.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.88 / $67.88 / $145.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.00 / $281.00 / $281.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.16 / $103.97 / $119.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.75 / $64.27 / $144.05