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California rates for HCPCS L5321

Above Knee Molded Socket Open End Sach Foot Endoskeletal System Single Axis Knee

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,369.29 / $2,369.29 / $15,175.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,814.78 / $2,369.29 / $15,175.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,207.83 / $4,207.83 / $4,207.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,799.18 / $7,412.10 / $16,696.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,103.94 / $2,859.80 / $4,010.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $6,227.11 / $11,119.85
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $6,978.85 / $16,256.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,460.11 / $2,481.10 / $2,811.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $1,811.20 / $2,909.47
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.55 / $3,373.86 / $5,785.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,155.87 / $3,681.85 / $7,994.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,551.78 / $20,983.29 / $24,984.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26,681.22 / $27,321.57 / $29,586.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,467.24 / $9,467.24 / $9,467.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.53 / $4,568.77 / $5,259.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,811.20 / $2,481.10 / $4,944.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,927.66 / $9,927.66 / $9,927.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,811.55 / $4,207.83 / $4,217.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.08 / $2,600.65 / $3,032.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,852.51 / $2,311.42 / $4,879.68