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California rates for HCPCS L5722

Addition, exoskeletal knee-shin system, single axis, pneumatic swing, friction stance phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.86 / $650.86 / $3,757.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.19 / $650.86 / $3,757.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$494.25 / $1,879.75 / $4,133.92
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.00 / $659.00 / $1,258.36
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,541.82 / $2,753.24
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,727.95 / $4,024.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.12 / $875.29 / $875.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $638.96 / $901.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.14 / $835.37 / $1,432.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.39 / $911.62 / $1,979.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,746.77 / $6,185.97 / $6,185.97
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,301.80 / $6,301.80 / $8,127.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,239.05 / $2,239.05 / $2,239.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.02 / $1,111.20 / $1,319.91
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.96 / $875.29 / $1,211.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,458.04 / $2,458.04 / $2,458.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$696.14 / $1,041.84 / $1,044.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.90 / $600.71 / $1,252.46