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California rates for HCPCS L5666

Addition to lower extremity, below knee (BK), cuff suspension

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $50.12 / $489.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.31 / $50.12 / $426.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.02 / $48.98 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $51.29 / $123.03
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $194.98 / $263.03
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $208.93 / $363.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.48 / $60.26 / $60.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $60.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $56.23 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $190.55
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $707.95 / $707.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $97.72 / $138.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $43.65 / $83.18
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $213.80 / $213.80
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $67.61 / $102.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.92 / $54.95 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $50.12 / $112.20