go back

California rates for HCPCS L5520

Preparatory, below knee (BK) PTB type socket, nonalignable system, pylon, no cover, SACH foot, thermoplastic or equal, direct formed

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.65 / $1,036.65 / $6,635.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$906.90 / $1,036.65 / $6,635.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$787.21 / $3,241.08 / $7,300.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$954.72 / $1,054.47 / $1,772.22
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $2,722.92 / $4,862.35
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $3,051.63 / $7,108.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,075.72 / $1,232.72 / $1,232.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $899.89 / $1,269.70
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.01 / $994.81 / $2,529.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,379.96 / $1,609.96 / $3,495.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,868.39 / $10,924.72 / $10,924.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,391.63 / $11,391.63 / $15,815.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,717.74 / $4,717.74 / $4,717.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.90 / $1,954.95 / $2,301.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.89 / $1,232.72 / $1,685.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,341.05 / $4,341.05 / $4,341.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$829.01 / $1,409.32 / $1,839.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.41 / $1,011.33 / $2,320.46