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California rates for HCPCS L5460

Immediate postsurgical or early fitting, application of nonweight bearing rigid dressing, above knee (AK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.08 / $393.08 / $1,888.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.87 / $393.08 / $1,888.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.50 / $1,003.30 / $2,077.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.17 / $393.90 / $696.42
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $774.84 / $1,383.64
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $868.38 / $2,022.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.11 / $484.42 / $484.42
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $353.63 / $516.41
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.63 / $197.56 / $719.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.68 / $458.13 / $994.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.05 / $3,319.62 / $3,319.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,319.52 / $4,319.52 / $4,908.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.89 / $1,788.89 / $1,788.89
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.79 / $578.61 / $687.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.63 / $484.42 / $654.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,235.28 / $1,235.28 / $1,235.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.63 / $279.87 / $523.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.88 / $332.24 / $654.47