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California rates for HCPCS L3455

Heel, new leather, standard

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.32 / $26.32 / $138.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.91 / $26.32 / $138.13
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $72.69 / $151.94
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.93 / $26.71 / $45.61
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.21 / $69.29 / $101.20
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.88 / $86.39 / $147.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.38 / $27.38 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $57.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $11.10 / $52.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.72 / $33.51 / $72.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.00 / $228.34 / $228.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.66 / $246.66 / $359.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.10 / $101.10 / $101.10
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.11 / $41.92 / $49.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $19.98 / $46.75
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.36 / $90.36 / $90.36
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.25 / $15.73 / $38.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.21 / $21.86 / $45.44