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California rates for HCPCS L6055

Wrist Disarticulation Molded Socket With Expandable Interface Flexible Elbow Hinges Triceps Pad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,908.56 / $1,908.56 / $11,213.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.67 / $1,908.56 / $11,213.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.32 / $5,609.53 / $12,336.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,917.69 / $1,932.42 / $3,559.78
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $4,601.06 / $8,216.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $5,156.49 / $12,011.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,817.71 / $2,476.09 / $2,476.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $1,807.55 / $2,550.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.03 / $1,785.64 / $4,274.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,331.80 / $2,720.43 / $5,907.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,770.27 / $18,460.07 / $18,460.07
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,260.05 / $19,260.05 / $25,997.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,984.47 / $6,984.47 / $6,984.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,023.47 / $3,403.69 / $3,886.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,807.55 / $2,476.09 / $3,703.44
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,335.30 / $7,335.30 / $7,335.30
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,488.03 / $2,529.65 / $3,109.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,492.28 / $1,808.05 / $3,697.70