go back

California rates for HCPCS L6580

Preparatory Wrist Disarticulation Or Below Elbow Single Wall Plastic Socket Friction Wrist Flexible Elbow Hinges Figure Of Eight Harness Humeral Cuff Bowden Cable Control Usmc Or Equal Pylon No Cover Molded To Patient Model

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,126.83 / $1,126.83 / $6,188.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.65 / $1,126.83 / $6,188.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.69 / $3,110.01 / $6,808.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.92 / $1,146.20 / $2,266.67
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $2,539.48 / $4,534.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $2,846.05 / $6,629.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,003.26 / $1,576.65 / $1,576.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.95 / $1,150.95 / $1,623.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.38 / $988.06 / $2,359.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,286.99 / $1,501.49 / $3,260.38
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,947.70 / $10,188.70 / $10,188.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11,243.79 / $11,243.79 / $14,106.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,043.19 / $4,043.19 / $4,043.19
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$604.26 / $1,883.72 / $2,174.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,150.95 / $1,576.65 / $2,057.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,048.59 / $4,048.59 / $4,048.59
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.38 / $1,399.75 / $1,715.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$881.05 / $1,060.57 / $2,170.90