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California rates for HCPCS L2750

Addition to lower extremity orthosis, plating chrome or nickel, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.56 / $56.56 / $271.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.60 / $56.56 / $271.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.95 / $144.35 / $298.89
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.94 / $57.19 / $87.57
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $111.48 / $199.07
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.90 / $124.93 / $291.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.01 / $58.84 / $58.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $42.95 / $62.73
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.68 / $38.02 / $103.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.50 / $65.91 / $145.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.33 / $476.85 / $476.85
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$612.91 / $612.91 / $831.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.82 / $371.82 / $371.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.33 / $83.25 / $104.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.95 / $58.84 / $96.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.74 / $177.74 / $177.74
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.68 / $53.86 / $75.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $46.98 / $94.16