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California rates for HCPCS L2800

Addition to lower extremity orthosis, knee control, knee cap, medial or lateral pull, for use with custom fabricated orthosis only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $691.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.70 / $72.44 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $69.18 / $316.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $177.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $281.84 / $371.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $302.00 / $512.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $75.86 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $75.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $91.20 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $147.91 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $758.58 / $758.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $891.25 / $891.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $177.83 / $177.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $131.83 / $194.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $54.95 / $134.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $302.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $109.65 / $147.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $58.88 / $162.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.95 / $69.18 / $158.49