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California rates for HCPCS L5210

Above knee (AK), short prosthesis, no knee joint (stubbies), with foot blocks, no ankle joints, each

Facilitymedian $1,698 · 10th–90th $1,318–$7,7620%20%10th90th$1,698Professionalmedian $1,778 · 10th–90th $1,318–$13,4900%20%10th90th$1,778$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,737.80 / $15,488.17
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $13,489.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,698.24 / $7,762.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,737.80 / $1,778.28 / $5,128.61
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,137.96 / $5,248.07 / $8,317.64
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $6,606.93 / $13,489.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,659.59 / $1,819.70 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $1,819.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $1,995.26 / $4,365.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $3,235.94 / $5,623.41
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15,848.93 / $15,848.93 / $15,848.93
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19,498.45 / $28,840.32 / $28,840.32
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,388.44 / $3,388.44
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,202.26 / $3,162.28 / $4,570.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,318.26 / $3,715.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,760.83 / $6,760.83 / $6,760.83
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,584.89 / $2,041.74 / $3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $1,949.84 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,737.80 / $3,801.89