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California rates for HCPCS L6915

Hand Restoration (Shading And Measurements Included) Replacement Glove For Above

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.28 / $451.28 / $2,796.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.97 / $451.28 / $2,796.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$343.24 / $1,365.61 / $3,076.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.77 / $459.77 / $910.20
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,147.30 / $2,048.75
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $1,285.80 / $2,995.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$453.26 / $644.36 / $644.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $470.38 / $663.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.30 / $500.76 / $1,065.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.44 / $678.35 / $1,472.99
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,986.78 / $4,603.08 / $4,603.08
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,651.54 / $4,651.54 / $5,635.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,540.32 / $1,540.32 / $1,540.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.00 / $823.71 / $982.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$470.38 / $644.36 / $829.52
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.09 / $1,829.09 / $1,829.09
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.30 / $709.41 / $775.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.85 / $440.26 / $920.59