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California rates for HCPCS L6632

Upper extremity addition, latex suspension sleeve, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.84 / $46.84 / $225.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.14 / $46.84 / $225.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.57 / $119.54 / $247.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.07 / $53.69 / $74.70
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.89 / $100.00 / $164.86
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.15 / $103.46 / $241.01
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.47 / $48.73 / $48.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $35.57 / $51.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $44.35 / $85.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.79 / $54.59 / $120.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.30 / $415.88 / $415.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.77 / $517.77 / $584.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.85 / $159.85 / $159.85
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.11 / $68.94 / $79.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.57 / $48.73 / $74.22
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.18 / $147.18 / $147.18
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.96 / $62.38 / $62.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.97 / $39.97 / $39.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.61 / $39.58 / $77.98