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California rates for HCPCS L6655

Upper Extremity Addition Standard Control Cable Extra

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.15 / $54.15 / $346.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.11 / $54.15 / $346.86
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.12 / $169.40 / $381.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.33 / $54.49 / $86.02
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $142.33 / $254.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.97 / $159.50 / $371.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.22 / $59.82 / $64.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $43.67 / $63.77
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.03 / $38.44 / $132.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.13 / $84.15 / $186.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.75 / $477.03 / $571.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$629.15 / $644.27 / $719.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.79 / $227.79 / $227.79
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $105.26 / $121.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $59.82 / $114.42
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.90 / $226.90 / $226.90
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.03 / $54.45 / $96.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.18 / $120.21 / $120.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.34 / $54.20 / $116.32