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California rates for HCPCS L5940

Addition, endoskeletal system, below knee (BK), ultra-light material (titanium, carbon fiber or equal)

Facilitymedian $347 · 10th–90th $275$1,5850%20%10th90th$347Professionalmedian $363 · 10th–90th $269$2,3440%20%10th90th$363$0.5$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$363.08 / $1,513.56 / $2,754.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $363.08 / $2,454.71
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $478.63 / $616.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$275.42 / $346.74 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $389.05 / $1,023.29
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $933.25 / $1,513.56
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$616.60 / $1,174.90 / $2,398.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $380.19 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $380.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $389.05 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $588.84 / $1,023.29
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $3,235.94 / $3,235.94
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,897.79 / $4,897.79
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
$239.88 / $602.56 / $851.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $281.84 / $707.95
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,202.26 / $1,202.26 / $1,202.26
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $407.38 / $588.84
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $398.11 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $363.08 / $691.83