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California rates for HCPCS L5985

All Endoskeletal Lower Extremity Protheses Dynamic Prosthetic Pylon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$184.07 / $184.07 / $960.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.04 / $184.07 / $960.05
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.78 / $508.03 / $1,056.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.79 / $187.23 / $317.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $393.93 / $703.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $441.49 / $1,028.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.62 / $220.51 / $220.51
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $160.97 / $227.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.37 / $148.04 / $366.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.64 / $232.92 / $515.75
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.73 / $1,599.48 / $1,599.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.73 / $1,710.73 / $2,545.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$702.51 / $702.51 / $702.51
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.71 / $291.36 / $342.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.97 / $220.51 / $316.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.04 / $628.04 / $628.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.37 / $209.73 / $266.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.50 / $166.00 / $339.25