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California rates for HCPCS L5830

Addition, endoskeletal knee-shin system, single axis, pneumatic/swing phase control

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,367.87 / $1,367.87 / $8,761.51
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.38 / $1,367.87 / $8,761.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,038.73 / $4,279.28 / $9,639.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.00 / $1,376.42 / $2,230.69
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $3,595.15 / $6,419.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $4,029.15 / $9,385.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,420.31 / $1,654.54 / $1,654.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,207.81 / $1,763.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.21 / $1,947.85 / $3,340.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,822.00 / $2,125.67 / $4,615.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,869.16 / $12,123.54 / $14,424.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,944.43 / $17,351.09 / $18,330.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,124.22 / $5,124.22 / $5,124.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$733.52 / $2,581.17 / $3,080.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.81 / $1,654.54 / $2,812.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,731.59 / $5,731.59 / $5,731.59
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.21 / $2,429.34 / $2,434.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,081.22 / $1,367.87 / $2,881.96