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California rates for HCPCS L5856

Addition To Lower Proximity Prosthesis Endoskeletal Knee-Shin System

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,571.41 / $15,571.41 / $81,610.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,499.54 / $15,571.41 / $81,610.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,824.54 / $42,976.29 / $89,786.73
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14,519.19 / $17,411.83 / $26,951.57
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $33,487.51 / $59,799.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $37,530.08 / $87,420.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,200.25 / $16,200.25 / $22,876.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $11,826.18 / $18,997.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,119.69 / $18,143.63 / $31,114.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,971.31 / $19,799.86 / $42,993.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,686.70 / $134,932.92 / $134,932.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145,801.04 / $145,801.04 / $213,102.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59,725.74 / $59,725.74 / $59,725.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,350.18 / $25,006.91 / $29,134.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,826.18 / $16,200.25 / $26,922.59
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53,387.88 / $53,387.88 / $53,387.88
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15,119.69 / $22,628.42 / $22,679.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,383.10 / $34,568.35 / $34,568.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,175.06 / $13,985.47 / $26,844.46