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California rates for HCPCS L5818

Addition, endoskeletal knee-shin system, polycentric, friction swing and stance phase control

Facilitymedian $661 · 10th–90th $525$3,0200%20%10th90th$661Professionalmedian $708 · 10th–90th $513$5,8880%20%10th90th$708$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$691.83 / $691.83 / $6,606.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$512.86 / $691.83 / $5,888.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $660.69 / $3,019.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$691.83 / $707.95 / $1,995.26
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$933.25 / $2,290.87 / $3,630.78
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,479.11 / $2,818.38 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $812.83 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $812.83
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $912.01 / $1,862.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$933.25 / $1,412.54 / $2,454.71
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,309.57 / $6,309.57 / $6,309.57
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,317.64 / $9,332.54 / $9,332.54
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,174.90 / $1,174.90 / $1,174.90
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $1,230.27 / $1,862.09
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $1,122.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$724.44 / $954.99 / $1,412.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$95.50 / $758.58 / $1,584.89
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $691.83 / $1,584.89