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California rates for HCPCS L9900

Orthotic and prosthetic supply, accessory, and/or service component of another HCPCS L code

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.91 / $88.72 / $173.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.13 / $88.72 / $91.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.60 / $5.60 / $5.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.55 / $69.31 / $183.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,500.00 / $2,500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $90.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.53 / $96.53 / $96.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.27 / $68.13 / $91.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.29 / $35.29 / $35.29