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California rates for HCPCS L4370

Pneumatic full leg splint, prefabricated, off-the-shelf

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $125.89 / $933.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $812.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $123.03 / $501.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $269.15
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $371.54 / $501.19
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $398.11 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $151.36 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $151.36
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $263.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $354.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,096.48 / $1,096.48 / $1,096.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,584.89 / $1,584.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $213.80 / $295.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $269.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $158.49 / $194.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.38 / $104.71 / $288.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $107.15 / $218.78