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California rates for HCPCS L5636

Addition to lower extremity, Symes type, medial opening socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.68 / $183.68 / $882.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.90 / $183.68 / $882.35
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.52 / $468.82 / $970.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.66 / $186.03 / $288.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $362.07 / $646.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $405.77 / $945.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.04 / $197.02 / $197.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $143.82 / $202.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.17 / $135.80 / $336.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.49 / $214.07 / $474.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.72 / $1,631.04 / $1,631.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,030.64 / $2,030.64 / $3,058.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.93 / $626.93 / $626.93
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.50 / $270.38 / $321.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $197.02 / $334.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.21 / $577.21 / $577.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.17 / $192.39 / $244.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.63 / $136.63 / $136.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.07 / $152.57 / $308.54