go back

California rates for HCPCS L5950

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.84 / $560.84 / $2,694.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.40 / $560.84 / $2,694.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$747.04 / $747.04 / $747.04
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.89 / $1,431.52 / $2,964.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.54 / $566.70 / $868.43
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,105.54 / $1,974.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,238.99 / $2,886.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.76 / $583.49 / $583.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $425.95 / $622.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.71 / $544.45 / $1,027.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.28 / $653.66 / $1,419.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,768.00 / $4,826.53 / $4,826.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,163.10 / $6,163.10 / $7,952.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.39 / $2,552.39 / $2,552.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.75 / $825.56 / $980.49
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.95 / $583.49 / $942.13
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,762.51 / $1,762.51 / $1,762.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.71 / $747.04 / $747.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$466.72 / $466.72 / $466.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.52 / $514.00 / $933.80