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California rates for HCPCS L5665

Addition to lower extremity, socket insert, multidurometer, below knee (BK)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.10 / $369.10 / $2,364.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.92 / $369.10 / $2,364.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.29 / $1,154.70 / $2,601.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.20 / $373.72 / $650.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $970.09 / $1,732.31
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,087.21 / $2,532.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.26 / $452.18 / $452.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $330.09 / $482.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.19 / $470.63 / $901.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.64 / $573.58 / $1,245.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.19 / $3,241.88 / $3,892.15
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,227.08 / $4,328.51 / $4,609.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,346.39 / $1,346.39 / $1,346.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$197.93 / $657.01 / $819.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.09 / $452.18 / $600.15
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,546.59 / $1,546.59 / $1,546.59
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.19 / $655.52 / $655.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.49 / $819.40 / $819.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.58 / $329.74 / $777.66