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California rates for HCPCS L2768

Orthotic side bar disconnect device, per bar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $83.18 / $660.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $83.18 / $660.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $158.49 / $158.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $81.28 / $346.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $85.11 / $169.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $269.15 / $363.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $288.40 / $489.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $100.00 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $100.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $186.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $141.25 / $257.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$724.44 / $724.44 / $724.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,148.15 / $1,148.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $141.25 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $147.91
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $288.40 / $288.40
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $141.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $69.18 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $75.86 / $154.88