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California rates for HCPCS L5968

Addition to lower limb prosthesis, multiaxial ankle with swing phase active dorsiflexion feature

Facilitymedian $2,291 · 10th–90th $1,778$10,2330%20%10th90th$2,291Professionalmedian $2,399 · 10th–90th $1,862$16,2180%20%10th90th$2,399$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$2,344.23 / $2,344.23 / $18,620.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,344.23 / $16,218.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,778.28 / $2,290.87 / $9,772.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,630.27 / $6,165.95
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $6,309.57 / $10,000.00
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $7,943.28 / $16,218.10
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $2,454.71 / $2,454.71
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $2,454.71
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,041.74 / $5,248.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,630.27 / $3,890.45 / $6,760.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20,892.96 / $20,892.96 / $20,892.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22,387.21 / $32,359.37 / $32,359.37
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6,456.54 / $6,456.54 / $6,456.54
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
$1,584.89 / $3,890.45 / $5,495.41
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,778.28 / $1,778.28 / $4,168.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8,128.31 / $8,128.31 / $8,128.31
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,621.81 / $2,089.30 / $3,890.45
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $2,630.27 / $5,370.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,819.70 / $2,344.23 / $4,677.35