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California rates for HCPCS L5988

Addition to lower limb prosthesis, vertical shock reducing pylon feature

Facilitymedian $1,259 · 10th–90th $977$5,6230%20%10th90th$1,259Professionalmedian $1,349 · 10th–90th $1,023$8,9130%20%10th90th$1,349$2.0$10.0$50.0$200.0$1.0K$5.0K

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
$1,288.25 / $1,288.25 / $10,232.93
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,047.13 / $1,288.25 / $8,912.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $1,258.93 / $5,370.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,288.25 / $1,445.44 / $3,388.44
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $3,467.37 / $5,495.41
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $4,365.16 / $8,912.51
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,348.96 / $1,348.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,348.96
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,122.02 / $2,884.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,445.44 / $2,137.96 / $3,715.35
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11,481.54 / $11,481.54 / $11,481.54
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12,302.69 / $17,782.79 / $17,782.79
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $2,398.83 / $2,398.83
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
$870.96 / $2,137.96 / $3,019.95
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $2,290.87
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $4,466.84
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$891.25 / $1,148.15 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $1,445.44 / $2,951.21
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,288.25 / $2,570.40