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California rates for HCPCS L5981

All Lower Extremity Prostheses Flex-Walk System Or Equal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,076.21 / $2,076.21 / $11,343.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,573.86 / $2,076.21 / $11,343.50
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,145.26 / $3,145.26 / $3,145.26
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,576.64 / $5,730.30 / $12,479.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,009.50 / $2,148.37 / $3,830.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $4,654.59 / $8,311.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $5,216.52 / $12,151.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,838.86 / $2,160.07 / $2,160.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $1,576.85 / $2,533.03
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.82 / $1,749.38 / $4,324.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,358.94 / $2,752.10 / $5,975.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,362.02 / $18,674.96 / $18,674.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,461.27 / $19,461.27 / $27,934.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,794.84 / $10,794.84 / $10,794.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,113.38 / $3,415.02 / $3,984.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,576.85 / $2,160.07 / $3,742.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,420.67 / $7,420.67 / $7,420.67
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,457.82 / $2,478.29 / $3,145.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,623.37 / $1,943.92 / $3,931.57