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California rates for HCPCS L5925

Addition, endoskeletal system, above knee (AK), knee disarticulation or hip disarticulation, manual lock

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.22 / $242.22 / $1,510.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.21 / $242.22 / $1,510.35
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.78 / $418.78 / $418.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.93 / $737.67 / $1,661.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.05 / $321.33 / $447.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $619.73 / $1,106.66
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $694.56 / $1,617.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.83 / $260.88 / $279.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $278.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.09 / $232.91 / $575.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.08 / $366.43 / $795.67
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$818.68 / $2,486.48 / $2,486.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,677.85 / $2,677.85 / $3,024.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,102.32 / $1,102.32 / $1,102.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.88 / $454.69 / $537.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $260.88 / $498.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$988.04 / $988.04 / $988.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.09 / $329.95 / $418.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $242.46 / $523.47