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California rates for HCPCS L2624

Addition to lower extremity, pelvic control, hip joint, adjustable flexion, extension, abduction control, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.06 / $224.06 / $1,435.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.90 / $224.06 / $1,389.08
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.24 / $338.24 / $338.24
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.15 / $700.95 / $1,578.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.79 / $226.86 / $437.21
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $588.90 / $1,051.59
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $659.99 / $1,537.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.49 / $291.02 / $291.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $212.45 / $310.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.89 / $319.07 / $547.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.45 / $348.19 / $756.06
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$954.34 / $2,011.56 / $2,362.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,530.79 / $3,615.53 / $3,615.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$821.18 / $821.18 / $821.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.15 / $400.58 / $504.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.45 / $291.02 / $364.32
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.84 / $938.84 / $938.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.89 / $397.93 / $398.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.74 / $168.99 / $184.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.99 / $186.42 / $472.57