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California rates for HCPCS L5973

Endoskeletal ankle foot system, microprocessor controlled feature, dorsiflexion and/or plantar flexion control, includes power source

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $89,125.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $11,220.18 / $79,432.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $10,964.78 / $46,773.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,220.18 / $11,220.18 / $22,908.68
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $37,153.52 / $48,977.88
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,952.62 / $38,904.51 / $66,069.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $12,882.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $19,054.61 / $26,302.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $19,054.61 / $33,113.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97,723.72 / $97,723.72 / $97,723.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107,151.93 / $154,881.66 / $154,881.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,892.96 / $20,892.96 / $20,892.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $20,892.96 / $27,542.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $20,417.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38,904.51 / $38,904.51 / $38,904.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12,589.25 / $16,982.44 / $21,379.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $12,302.69 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,912.51 / $11,220.18 / $20,892.96