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California rates for HCPCS L4080

Replace metal bands KAFO, proximal thigh

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $67.61 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $501.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $66.07 / $281.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $154.88
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $229.09 / $302.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $245.47 / $416.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.26 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $85.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $58.88 / $158.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $120.23 / $218.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $616.60
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $870.96 / $870.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $117.49 / $165.96
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $61.66 / $128.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $70.79 / $120.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.33 / $56.23 / $154.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $63.10 / $131.83