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California rates for HCPCS L5220

Above knee (AK), short prosthesis, no knee joint (stubbies), with articulated ankle/foot, dynamically aligned, each

Facilitymedian $1,905 · 10th–90th $1,514–$8,7100%20%10th90th$1,905Professionalmedian $1,995 · 10th–90th $1,514–$16,9820%20%10th90th$1,995$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$1,995.26 / $1,995.26 / $19,054.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $1,995.26 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,513.56 / $1,905.46 / $8,709.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $5,623.41
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $6,456.54 / $10,232.93
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,168.69 / $8,128.31 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $2,454.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,398.83 / $5,370.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $4,073.80 / $6,918.31
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18,197.01 / $18,197.01 / $18,197.01
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,908.68 / $26,302.68 / $26,302.68
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $4,265.80
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
$1,288.25 / $3,801.89 / $5,370.32
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $1,819.70 / $4,265.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $8,317.64 / $8,317.64
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,905.46 / $2,454.71 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $2,187.76 / $4,466.84
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,548.82 / $1,995.26 / $4,570.88