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California rates for HCPCS 12042

Repair Intermediate N/H/F/Xtrnl Gent 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.52 / $3,713.00 / $15,522.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.69 / $270.37 / $909.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.85 / $159.06 / $352.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,882.00 / $4,542.00 / $9,244.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.16 / $255.20 / $581.59
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,170.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.47 / $231.95 / $500.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.30 / $303.83 / $608.58
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.78 / $265.64 / $461.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.67 / $334.49 / $592.45
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.00 / $712.97 / $1,375.92
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,429.04 / $2,228.32 / $2,590.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.91 / $273.33 / $453.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.57 / $315.13 / $610.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.79 / $646.79 / $995.42
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.75 / $186.61 / $349.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.00 / $1,533.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.04 / $295.83 / $757.98