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California rates for HCPCS 0115U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.44 / $998.94 / $2,073.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.44 / $245.44 / $245.44
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$437.81 / $437.81 / $437.81
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.00 / $614.00 / $1,379.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.35 / $72.20 / $118.46
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,360.53 / $1,627.20 / $1,982.77
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.29 / $178.98 / $447.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.66 / $461.77 / $921.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $330.42 / $440.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.82 / $316.64 / $525.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$479.11 / $1,307.91 / $1,307.91
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,371.24 / $1,371.24 / $2,065.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.28 / $338.68 / $730.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.35 / $302.89 / $413.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.65 / $125.28 / $708.48