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California rates for HCPCS L5020

Partial foot, molded socket, tibial tubercle height, with toe filler

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.58 / $1,428.58 / $9,150.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,092.67 / $1,428.58 / $9,150.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,084.83 / $4,469.18 / $10,067.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.00 / $1,556.88 / $2,816.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $3,754.70 / $6,704.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $4,207.96 / $9,801.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,483.35 / $1,486.28 / $1,695.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,084.98 / $1,584.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.57 / $1,483.88 / $3,488.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,902.86 / $2,220.00 / $4,820.57
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,148.12 / $15,064.29 / $15,064.29
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,222.86 / $15,222.86 / $17,839.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,654.12 / $5,654.12 / $5,654.12
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$766.08 / $2,695.72 / $3,171.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,084.98 / $1,486.28 / $2,677.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,985.96 / $5,985.96 / $5,985.96
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,236.57 / $2,102.17 / $2,537.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.89 / $1,428.89 / $1,428.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,129.21 / $1,375.99 / $3,068.67