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California rates for HCPCS L5726

Addition, exoskeletal knee-shin system, single axis, external joints, fluid swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,254.00 / $1,254.00 / $6,829.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,043.95 / $1,254.00 / $6,829.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$952.26 / $3,460.99 / $7,514.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.97 / $1,275.56 / $2,309.13
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $2,802.52 / $5,004.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $3,140.85 / $7,316.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.18 / $1,606.19 / $1,606.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,172.52 / $1,654.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.34 / $1,518.42 / $2,603.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,420.31 / $1,657.03 / $3,598.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.37 / $11,244.11 / $11,244.11
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,780.11 / $13,780.11 / $15,659.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,706.91 / $5,706.91 / $5,706.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$672.46 / $2,042.85 / $2,485.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,172.52 / $1,606.19 / $2,220.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,467.97 / $4,467.97 / $4,467.97
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,265.34 / $1,893.74 / $1,898.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$980.48 / $1,170.43 / $2,303.86