go back

California rates for HCPCS L5986

All lower extremity prostheses, multiaxial rotation unit (MCP or equal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$456.81 / $456.81 / $2,925.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.18 / $456.81 / $2,925.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.00 / $1,429.08 / $3,219.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.77 / $462.16 / $870.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,200.59 / $2,143.92
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,345.54 / $3,134.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$474.31 / $663.31 / $663.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $484.22 / $707.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.03 / $451.24 / $1,115.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$608.47 / $709.88 / $1,541.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,752.78 / $4,017.59 / $4,817.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,540.85 / $5,673.83 / $5,704.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,411.14 / $2,411.14 / $2,411.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.96 / $861.99 / $1,028.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$484.22 / $663.31 / $873.49
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,914.08 / $1,914.08 / $1,914.08
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.03 / $639.25 / $811.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$361.07 / $457.26 / $1,069.10