go back

California rates for HCPCS 10121

Incision & Removal Foreign Body Subq Tiss Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.67 / $5,227.00 / $16,210.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.02 / $244.13 / $1,114.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,894.00 / $4,734.00 / $9,589.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.58 / $232.70 / $527.23
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,881.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.60 / $243.21 / $500.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.97 / $280.39 / $547.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.91 / $245.09 / $387.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.68 / $287.20 / $502.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$861.12 / $4,017.35 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,335.36 / $1,908.00 / $2,228.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.49 / $252.88 / $391.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.77 / $290.80 / $557.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$604.22 / $604.22 / $896.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.08 / $193.61 / $359.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,055.00 / $4,038.00 / $9,072.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.28 / $271.60 / $682.07