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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
$68.44 / $68.44 / $375.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.88 / $68.44 / $375.66
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.98 / $188.92 / $413.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.00 / $69.41 / $111.32
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $154.13 / $275.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.37 / $172.76 / $402.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.89 / $84.33 / $84.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $61.56 / $86.86
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $56.30 / $143.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.12 / $91.14 / $201.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.99 / $618.45 / $618.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.95 / $667.95 / $873.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.59 / $233.59 / $233.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.70 / $113.09 / $131.94
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.56 / $84.33 / $123.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.75 / $245.75 / $245.75
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.92 / $79.76 / $104.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.56 / $56.85 / $120.79