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California rates for HCPCS L5686

Addition to lower extremity, below knee (BK), back check (extension control)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.31 / $36.31 / $323.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $36.31 / $288.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.18 / $35.48 / $151.36
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $38.90 / $81.28
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.62 / $128.82 / $173.78
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.18 / $141.25 / $239.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $44.67 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $44.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $24.55 / $91.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $67.61 / $131.83
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $354.81 / $354.81
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $616.60 / $616.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.99 / $66.07 / $95.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $33.11 / $74.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $141.25 / $141.25
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $29.51 / $67.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $40.74 / $83.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $37.15 / $75.86