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California rates for HCPCS L3995

Addition to upper extremity orthosis, sock, fracture or equal, each

Facilitymedian $21 · 10th–90th $17$980%20%10th90th$21Professionalmedian $23 · 10th–90th $18$1120%20%40%10th90th$23$0.1$0.2$1.0$5.0$20.0$100.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $181.97
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $95.50
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $30.90 / $33.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $21.38 / $91.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $22.91 / $61.66
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $64.57 / $97.72
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $79.43 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $30.20 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $30.20
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $22.91 / $51.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $70.79
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $199.53 / $199.53
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $363.08 / $363.08
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $46.77 / $46.77
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $37.15 / $53.70
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $38.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $23.99 / $38.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.95 / $17.78 / $48.98
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $20.89 / $46.77