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California rates for HCPCS L8400

Prosthetic sheath, below knee, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.34 / $11.34 / $72.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.99 / $11.34 / $72.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.63 / $17.63 / $17.63
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.61 / $35.50 / $79.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.22 / $13.60 / $18.92
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.88 / $36.45 / $54.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.61 / $54.07 / $94.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.78 / $14.44 / $14.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $10.54 / $15.39
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $14.26 / $27.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.11 / $17.63 / $39.04
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $101.79 / $119.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.41 / $129.41 / $188.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.72 / $38.72 / $38.72
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.08 / $21.21 / $25.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $14.44 / $21.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.53 / $47.53 / $47.53
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.88 / $20.14 / $20.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.86 / $11.35 / $23.26