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California rates for HCPCS L5816

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$613.05 / $613.05 / $3,926.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.91 / $613.05 / $3,926.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$465.55 / $1,917.91 / $4,320.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.39 / $623.60 / $949.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,611.29 / $2,877.30
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,805.80 / $4,206.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$636.55 / $660.31 / $727.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $482.03 / $703.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.08 / $826.90 / $1,497.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.59 / $952.69 / $2,068.69
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,133.46 / $5,316.36 / $6,464.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,152.70 / $8,348.36 / $8,348.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,384.74 / $2,384.74 / $2,384.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.75 / $1,156.83 / $1,379.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.03 / $660.31 / $996.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,568.82 / $2,568.82 / $2,568.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$689.08 / $1,088.79 / $1,088.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.34 / $580.36 / $1,262.64