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California rates for HCPCS L5646

Addition to lower extremity, below knee (BK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $2,511.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $380.19 / $1,548.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $724.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,148.15 / $1,548.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $1,230.27 / $2,137.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.03 / $407.38 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $407.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $257.04 / $812.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $1,071.52
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $3,467.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $5,248.07 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $645.65 / $891.25
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $302.00 / $676.08
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,230.27 / $1,230.27
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $309.03 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $436.52 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $398.11 / $676.08