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California rates for HCPCS L6400

Below elbow, molded socket, endoskeletal system, including soft prosthetic tissue shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,672.70 / $1,672.70 / $10,714.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,245.89 / $1,672.70 / $10,714.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,270.21 / $5,232.89 / $11,787.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,645.79 / $1,693.61 / $3,055.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $4,396.32 / $7,850.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $4,927.04 / $11,476.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,736.83 / $2,125.02 / $2,125.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $1,551.26 / $2,188.77
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.96 / $1,731.55 / $4,084.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,228.03 / $2,599.37 / $5,644.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,668.49 / $17,638.56 / $17,638.56
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,492.63 / $18,492.63 / $24,311.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,171.46 / $6,171.46 / $6,171.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$896.99 / $3,101.48 / $3,713.38
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,551.26 / $2,125.02 / $3,034.56
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,008.87 / $7,008.87 / $7,008.87
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,442.96 / $2,453.03 / $2,970.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,322.17 / $1,501.88 / $3,713.38