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California rates for HCPCS L6672

Upper extremity addition, harness, chest or shoulder, saddle type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.55 / $121.55 / $778.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.50 / $121.55 / $778.56
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.30 / $380.26 / $856.55
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.00 / $144.94 / $245.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $319.47 / $570.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $358.03 / $833.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.21 / $170.89 / $170.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $124.75 / $182.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.77 / $125.72 / $296.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.90 / $188.89 / $418.25
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$536.22 / $1,281.74 / $1,281.74
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.55 / $1,359.41 / $1,845.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.75 / $437.75 / $437.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.18 / $221.15 / $269.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.75 / $170.89 / $229.36
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$509.31 / $509.31 / $509.31
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.77 / $178.11 / $215.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.04 / $118.58 / $269.83