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California rates for HCPCS L5930

Addition, endoskeletal system, high activity knee control frame

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,194.12 / $2,194.12 / $11,442.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,788.48 / $2,194.12 / $11,442.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,666.16 / $6,055.66 / $12,589.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,982.25 / $2,207.84 / $3,778.95
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $4,695.37 / $8,384.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $5,262.20 / $12,257.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,854.97 / $2,282.71 / $2,282.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $4,710.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.62 / $1,764.74 / $4,362.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,379.59 / $2,776.19 / $6,028.30
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,826.50 / $19,065.24 / $19,065.24
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,393.65 / $20,393.65 / $30,341.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,374.22 / $8,374.22 / $8,374.22
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,176.59 / $3,472.76 / $4,084.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.39 / $1,666.39 / $3,873.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,485.64 / $7,485.64 / $7,485.64
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,470.62 / $2,500.05 / $3,172.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,982.23 / $1,982.23 / $1,982.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,734.32 / $2,038.15 / $4,181.08