go back

California rates for HCPCS L7191

Electronic elbow, child, Variety Village or equal, myoelectronically controlled

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,663.06 / $6,663.06 / $32,008.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,372.83 / $6,663.06 / $32,008.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,059.76 / $17,007.00 / $35,215.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,763.44 / $6,777.58 / $12,554.79
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $13,134.21 / $23,453.95
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $14,719.78 / $34,287.28
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,188.85 / $8,732.85 / $8,732.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $6,374.98 / $8,994.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,706.24 / $5,647.49 / $12,203.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,656.36 / $7,765.76 / $16,862.79
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,679.61 / $58,756.37 / $58,756.37
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72,157.73 / $72,157.73 / $101,671.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29,883.50 / $29,883.50 / $29,883.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,573.07 / $9,808.02 / $11,648.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,374.98 / $8,732.85 / $10,559.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20,939.38 / $20,939.38 / $20,939.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,544.86 / $5,544.86 / $5,544.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,209.75 / $6,106.55 / $11,690.08