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California rates for HCPCS L5638

Addition To Lower Extremity Below Knee Leather Socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.82 / $350.82 / $2,247.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.25 / $350.82 / $2,247.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$266.41 / $1,097.50 / $2,472.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.21 / $356.85 / $724.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $922.06 / $1,646.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,033.33 / $2,407.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.27 / $503.81 / $503.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $903.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.50 / $393.00 / $856.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.29 / $545.16 / $1,183.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,580.98 / $3,699.35 / $3,699.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,878.47 / $3,878.47 / $5,270.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.95 / $1,241.95 / $1,241.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.13 / $661.99 / $778.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.78 / $367.78 / $700.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,469.98 / $1,469.98 / $1,469.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.50 / $556.75 / $623.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.77 / $388.77 / $388.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.30 / $351.17 / $739.85