go back

California rates for HCPCS L5698

Addition To Lower Extremity Above Knee Or Knee Disarticulation Silesian Bandage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.19 / $75.19 / $475.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.01 / $75.19 / $475.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.10 / $232.02 / $522.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.27 / $76.13 / $133.96
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $194.95 / $348.12
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.99 / $218.47 / $508.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.01 / $99.25 / $99.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $166.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.14 / $58.97 / $181.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.79 / $115.26 / $255.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.39 / $782.09 / $782.09
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$790.32 / $790.32 / $1,179.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.46 / $294.46 / $294.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $140.10 / $164.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.45 / $72.45 / $149.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.77 / $310.77 / $310.77
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.14 / $83.54 / $131.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $82.54 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.44 / $75.27 / $166.13