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California rates for HCPCS L5630

Addition to lower extremity, Symes type, expandable wall socket

Facilitymedian $309 · 10th–90th $245$1,4130%20%10th90th$309Professionalmedian $331 · 10th–90th $240$2,5120%20%10th90th$331$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$234.42 / $331.13 / $2,511.89
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$245.47 / $309.03 / $1,412.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $323.59 / $870.96
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $977.24 / $1,548.82
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $1,230.27 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$309.03 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $398.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $213.80 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $1,047.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,073.80 / $4,073.80
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $616.60 / $616.60
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $575.44 / $831.76
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $288.40 / $588.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,258.93 / $1,258.93
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $223.87 / $602.56
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$44.67 / $354.81 / $724.44
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $323.59 / $707.95