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California rates for HCPCS L5000

Partial Foot Shoe Insert With Longitudinal Arch Toe Filler (Special Coverage Instructions Apply. See Mcm: 2323)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.22 / $364.22 / $2,081.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.02 / $364.22 / $686.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.90 / $518.90 / $518.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.58 / $1,041.14 / $2,289.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.51 / $379.58 / $643.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $853.95 / $1,524.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $957.05 / $2,229.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.37 / $459.90 / $459.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $802.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $234.54 / $793.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.79 / $504.92 / $1,096.39
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,404.50 / $3,426.22 / $3,426.22
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,002.47 / $4,002.47 / $4,548.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,428.08 / $2,428.08 / $2,428.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.32 / $613.11 / $757.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.73 / $335.73 / $648.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,361.43 / $1,361.43 / $1,361.43
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.45 / $332.27 / $577.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.89 / $356.64 / $735.41