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California rates for HCPCS L5646

Addition To Lower Extremity Below Knee Air Flu Id Gel Or Equal Cushion Socket. (Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$394.97 / $394.97 / $1,897.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.04 / $394.97 / $1,897.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.99 / $1,008.13 / $2,087.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.39 / $401.80 / $693.12
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $778.56 / $1,390.29
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $872.55 / $2,032.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.58 / $410.92 / $410.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $299.97 / $438.06
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.11 / $248.53 / $723.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.57 / $460.33 / $999.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.25 / $3,432.45 / $3,432.45
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,241.91 / $4,241.91 / $5,222.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,750.00 / $1,750.00 / $1,750.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.80 / $591.86 / $690.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.97 / $410.92 / $657.62
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,241.23 / $1,241.23 / $1,241.23
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.11 / $352.09 / $526.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.33 / $333.83 / $663.49