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California rates for HCPCS L6704

Terminal Device, Sport/Recreational/Work Attachment,Any Materiany

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$422.17 / $422.17 / $2,704.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.12 / $422.17 / $2,704.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.58 / $1,320.72 / $2,974.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$397.61 / $426.28 / $758.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,109.57 / $1,981.38
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,243.52 / $2,896.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.25 / $527.25 / $842.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $384.89 / $562.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.51 / $627.01 / $1,030.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.33 / $656.05 / $1,424.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,378.44 / $3,676.89 / $4,451.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,607.85 / $4,607.85 / $5,281.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,908.30 / $1,908.30 / $1,908.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.39 / $842.36 / $937.21
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $527.25 / $734.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,768.94 / $1,768.94 / $1,768.94
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.51 / $749.77 / $783.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.70 / $422.59 / $937.21