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California rates for HCPCS L2627

Addition to lower extremity, pelvic control, plastic, molded to patient model, reciprocating hip joint and cables

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,159.95 / $1,159.95 / $5,572.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$918.93 / $1,159.95 / $5,572.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$880.84 / $2,960.70 / $6,130.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.45 / $1,176.26 / $2,394.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $2,286.50 / $4,083.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,562.52 / $5,968.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$902.70 / $1,206.80 / $1,206.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $880.96 / $1,243.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.72 / $1,049.66 / $2,124.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,158.79 / $1,351.92 / $2,935.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,227.41 / $10,300.32 / $10,300.32
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,823.90 / $12,823.90 / $17,622.59
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,959.18 / $3,959.18 / $3,959.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$622.02 / $1,707.45 / $1,957.42
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$880.96 / $1,206.80 / $1,838.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,645.27 / $3,645.27 / $3,645.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.72 / $1,487.02 / $1,545.05
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$890.84 / $965.08 / $2,575.08