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California rates for HCPCS L5812

Addition, endoskeletal knee-shin system, single axis, friction swing and stance phase control (safety knee)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.50 / $407.50 / $2,610.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.52 / $407.50 / $2,610.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.45 / $1,274.84 / $2,871.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.23 / $411.21 / $663.14
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,071.02 / $1,912.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,200.33 / $2,795.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$423.12 / $472.30 / $483.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $344.78 / $503.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.19 / $471.83 / $995.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.79 / $633.26 / $1,375.08
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,447.49 / $3,612.91 / $4,297.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,087.52 / $5,209.60 / $5,209.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,482.56 / $1,482.56 / $1,482.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.52 / $725.35 / $917.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$344.78 / $472.30 / $739.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,707.51 / $1,707.51 / $1,707.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.19 / $668.42 / $723.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.51 / $388.49 / $880.46