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California rates for HCPCS L5280

Hemipelvectomy Canadian Type; Molded Socket Hip Joint Single Axis Constant Friction Knee Shin Sach Foot

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,670.43 / $3,670.43 / $23,509.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,066.61 / $3,670.43 / $23,509.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,787.23 / $11,482.60 / $25,865.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,662.49 / $3,670.43 / $6,798.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $9,646.87 / $17,226.55
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $10,811.43 / $25,183.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,811.13 / $4,728.96 / $4,728.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $3,452.14 / $4,870.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.96 / $2,752.75 / $8,963.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,888.99 / $5,703.82 / $12,385.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,839.95 / $34,402.54 / $38,704.47
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52,107.80 / $53,358.39 / $53,358.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,358.81 / $14,358.81 / $14,358.81
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,968.27 / $7,042.03 / $8,266.73
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,452.14 / $4,728.96 / $7,755.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,379.63 / $15,379.63 / $15,379.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.96 / $3,899.73 / $6,518.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,926.06 / $8,148.31 / $8,148.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,869.85 / $3,499.15 / $7,260.95