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California rates for HCPCS 12015

Simple Repair F/E/E/N/L/M 7.6cm-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.89 / $4,056.00 / $16,109.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,863.00 / $11,400.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.90 / $100.00 / $1,588.01
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.18 / $128.49 / $245.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.59 / $175.83 / $317.91
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $630.96 / $649.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.52 / $178.93 / $299.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $1,506.00 / $5,830.00