go back

California rates for HCPCS L2650

Addition To Lower Extremity Pelvic And Thoracic Control Gluteal Pad Each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.20 / $81.20 / $434.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.41 / $81.20 / $434.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.67 / $224.14 / $478.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.33 / $82.80 / $155.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $178.33 / $318.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.41 / $199.87 / $465.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.40 / $112.36 / $112.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $82.02 / $115.73
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $57.82 / $165.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.38 / $105.45 / $233.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.46 / $715.54 / $715.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$892.29 / $892.29 / $1,041.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.88 / $333.88 / $333.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.54 / $133.16 / $158.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.02 / $112.36 / $157.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.31 / $284.31 / $284.31
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.18 / $81.91 / $120.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.24 / $67.45 / $143.11