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California rates for HCPCS L6450

Elbow Disarticulation Molded Socket Endoskeletal System Including Soft Prosthetic Tissue Shaping

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,222.50 / $2,222.50 / $13,059.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,620.12 / $2,222.50 / $13,059.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,687.72 / $6,533.48 / $14,368.31
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,150.96 / $2,260.71 / $3,992.76
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $5,358.89 / $9,569.45
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $6,005.83 / $13,989.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,117.11 / $2,717.61 / $2,717.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $1,983.86 / $2,799.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.58 / $2,651.50 / $4,979.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.87 / $3,168.52 / $6,880.20
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,715.37 / $21,500.64 / $21,500.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24,570.97 / $24,570.97 / $27,929.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,585.92 / $7,585.92 / $7,585.92
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,191.82 / $3,847.48 / $4,526.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,983.86 / $2,717.61 / $4,014.96
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8,543.48 / $8,543.48 / $8,543.48
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,209.58 / $3,621.16 / $3,621.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.75 / $2,168.23 / $4,526.45