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California rates for HCPCS 12016

Simple Repair F/E/E/N/L/M 12.6cm-20.0 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.75 / $5,382.00 / $16,713.00
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
$66.00 / $100.00 / $6,881.37
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.86 / $173.96 / $309.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.64 / $223.98 / $409.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$855.00 / $2,000.00 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.93 / $237.88 / $374.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,523.00 / $5,830.00