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California rates for HCPCS L5814

Addition, endoskeletal knee-shin system, polycentric, hydraulic swing phase control, mechanical stance phase lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,405.52 / $2,405.52 / $12,625.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,911.96 / $2,405.52 / $12,625.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,826.69 / $6,639.10 / $13,890.64
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,246.23 / $2,693.73 / $4,169.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $5,180.78 / $9,251.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $5,806.18 / $13,524.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,046.74 / $2,502.67 / $2,502.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $1,826.95 / $2,667.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.66 / $1,947.19 / $4,813.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.58 / $3,063.18 / $6,651.47
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,532.20 / $20,912.72 / $20,912.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,572.40 / $22,572.40 / $32,819.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,239.98 / $9,239.98 / $9,239.98
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,289.96 / $3,801.08 / $4,507.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,826.95 / $2,502.67 / $4,165.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,259.48 / $8,259.48 / $8,259.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,622.66 / $2,758.52 / $3,500.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,880.84 / $2,266.58 / $5,198.67