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California rates for HCPCS L5940

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.59 / $361.59 / $1,846.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.33 / $361.59 / $1,846.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.92 / $511.91 / $511.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$274.58 / $980.95 / $2,031.20
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.79 / $365.89 / $559.91
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $757.54 / $1,352.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $849.02 / $1,977.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.27 / $382.03 / $382.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $278.88 / $447.99
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $373.07 / $703.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.93 / $447.92 / $972.63
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,222.16 / $3,210.96 / $3,210.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,997.65 / $3,997.65 / $4,905.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,410.55 / $2,410.55 / $2,410.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.91 / $565.70 / $671.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.88 / $382.03 / $676.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.75 / $1,207.75 / $1,207.75
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.89 / $511.91 / $511.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.73 / $305.62 / $602.05