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California rates for HCPCS L2840

Addition to lower extremity orthosis, tibial length sock, fracture or equal, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.56 / $29.56 / $142.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.62 / $29.56 / $43.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.46 / $75.45 / $156.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.35 / $29.46 / $51.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.59 / $71.25 / $104.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.60 / $88.82 / $152.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.00 / $31.92 / $31.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $23.30 / $34.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $22.18 / $54.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.53 / $34.45 / $76.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.95 / $258.76 / $258.76
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.87 / $324.87 / $436.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.08 / $197.08 / $197.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $43.52 / $51.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.30 / $31.92 / $46.85
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.91 / $92.91 / $92.91
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.48 / $31.42 / $39.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.30 / $24.56 / $49.22