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California rates for HCPCS 0717T

Adrc Ther Prtl Thickness Rc Tear

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,950.00 / $7,342.00 / $18,252.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,648.00 / $4,573.00 / $14,766.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,113.00 / $7,303.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.24 / $397.14 / $441.27
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.90 / $100.00 / $2,142.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,744.27 / $2,744.27 / $2,881.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $638.07 / $801.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,728.00 / $9,758.00 / $21,278.00