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California rates for HCPCS L5000

Partial foot, shoe insert with longitudinal arch, toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $3,162.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $363.08 / $2,754.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $354.81 / $1,513.56
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $389.05 / $831.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,258.93 / $1,698.24
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,348.96 / $2,344.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $457.09 / $457.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $457.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $245.47 / $891.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $660.69 / $1,174.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,981.07 / $4,570.88 / $4,570.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,174.90 / $1,174.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $630.96 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $588.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,348.96 / $1,348.96
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $398.11 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $741.31