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California rates for HCPCS L6310

Shoulder disarticulation, passive restoration (complete prosthesis)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,187.55 / $2,187.55 / $14,011.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,678.50 / $2,187.55 / $14,011.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,661.18 / $6,843.57 / $15,415.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,214.90 / $2,225.15 / $4,516.41
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $5,749.47 / $10,266.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $6,443.56 / $15,009.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,271.41 / $3,141.52 / $3,141.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $2,293.31 / $3,235.77
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.54 / $2,273.44 / $5,341.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,913.81 / $3,399.45 / $7,381.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,858.39 / $23,067.66 / $23,067.66
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23,310.48 / $23,310.48 / $29,065.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,859.24 / $7,859.24 / $7,859.24
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,173.07 / $4,127.89 / $4,856.35
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,293.31 / $3,141.52 / $4,406.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,166.16 / $9,166.16 / $9,166.16
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,894.54 / $3,220.72 / $3,885.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,710.41 / $1,933.40 / $4,485.77