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California rates for HCPCS L5270

Hip disarticulation, tilt table type; molded socket, locking hip joint, single axis constant friction knee, shin, SACH foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,707.50 / $3,707.50 / $23,747.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,817.11 / $3,707.50 / $23,747.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,815.39 / $11,598.58 / $26,126.43
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,753.85 / $3,772.23 / $6,994.16
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $9,744.29 / $17,400.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $10,920.64 / $25,437.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,849.63 / $4,865.01 / $4,865.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $3,551.46 / $5,010.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,943.93 / $4,732.72 / $9,053.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,938.37 / $5,761.43 / $12,510.53
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,759.34 / $33,007.53 / $39,095.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46,658.93 / $47,778.75 / $47,778.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,190.60 / $13,190.60 / $13,190.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,988.15 / $7,113.16 / $8,350.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,551.46 / $4,865.01 / $7,834.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,534.97 / $15,534.97 / $15,534.97
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,943.93 / $6,584.49 / $6,584.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,320.94 / $5,320.94 / $5,320.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,898.84 / $3,312.13 / $8,230.61