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California rates for HCPCS L6676

Upper extremity addition, harness, (e.g., figure of eight type), dual cable design

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.42 / $87.42 / $559.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.93 / $87.42 / $541.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.39 / $273.50 / $616.07
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.54 / $88.15 / $140.24
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $229.77 / $410.30
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $257.51 / $599.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.78 / $97.54 / $103.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $71.20 / $103.98
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $93.26 / $213.49
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.45 / $135.86 / $300.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$306.12 / $771.31 / $921.88
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$996.17 / $1,020.06 / $1,313.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.73 / $322.73 / $322.73
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.88 / $158.34 / $194.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.20 / $97.54 / $168.65
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.33 / $366.33 / $366.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.72 / $132.12 / $155.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.36 / $83.12 / $194.08