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California rates for HCPCS L6687

Upper Extremity Addition Frame Type Socket Below Elbow Or Wrist Disarticulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$415.81 / $415.81 / $2,020.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.11 / $415.81 / $2,020.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.76 / $1,073.44 / $2,222.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.85 / $420.80 / $643.85
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $829.01 / $1,480.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $929.07 / $2,164.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.51 / $432.60 / $432.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $315.80 / $461.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.30 / $318.36 / $770.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.13 / $490.15 / $1,064.33
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,405.39 / $3,692.36 / $3,692.36
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,596.99 / $4,596.99 / $5,284.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,419.23 / $1,419.23 / $1,419.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.98 / $619.07 / $709.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.80 / $432.60 / $658.95
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,321.66 / $1,321.66 / $1,321.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.30 / $451.01 / $560.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.99 / $456.41 / $532.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.33 / $346.22 / $700.25