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California rates for HCPCS L5653

Addition to lower extremity, knee disarticulation, expandable wall socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $3,388.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $416.87 / $3,019.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $407.38 / $1,737.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $954.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $1,348.96 / $1,819.70
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $1,479.11 / $2,511.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $549.54 / $549.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $549.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $501.19 / $954.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,288.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,715.35 / $3,715.35 / $3,715.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,677.35 / $5,248.07 / $5,248.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $707.95 / $1,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $407.38 / $812.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,479.11 / $1,479.11 / $1,479.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $602.56 / $724.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.54 / $457.09 / $954.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $416.87 / $794.33