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California rates for HCPCS L5450

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.12 / $295.12 / $2,137.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $295.12 / $1,862.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $281.84 / $1,174.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $549.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $851.14 / $1,148.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $912.01 / $1,584.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $309.03 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $309.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $165.96 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $446.68 / $812.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $2,511.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,073.80 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $645.65 / $645.65
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.96 / $478.63 / $660.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $223.87 / $501.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $199.53 / $446.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.74 / $323.59 / $660.69
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $501.19