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California rates for HCPCS L5980

All lower extremity prostheses, flex-foot system

Facilitymedian $2,570 · 10th–90th $2,042$11,7490%20%10th90th$2,570Professionalmedian $2,692 · 10th–90th $2,042$19,4980%20%10th90th$2,692$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$1,348.96 / $2,691.53 / $21,877.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,691.53 / $19,498.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,570.40 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $7,244.36
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,019.95 / $7,413.10 / $11,748.98
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,786.30 / $9,332.54 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,344.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $2,754.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,344.23 / $6,165.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $4,677.35 / $7,943.28
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23,988.33 / $23,988.33 / $23,988.33
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30,199.52 / $43,651.58 / $43,651.58
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $4,677.35 / $4,677.35
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
$1,862.09 / $4,570.88 / $6,456.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,041.74 / $2,041.74 / $4,786.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,549.93 / $9,549.93 / $9,549.93
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $2,454.71 / $4,677.35
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $2,951.21 / $6,025.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,691.53 / $5,370.32