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California rates for HCPCS 12054

Repair Intermediate F/E/E/N/L&/Muc 7.6-12.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$425.55 / $4,963.00 / $16,210.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.57 / $309.33 / $1,078.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,863.00 / $11,400.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.19 / $314.45 / $686.32
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
$190.61 / $282.77 / $604.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.38 / $363.36 / $702.44
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.99 / $288.39 / $563.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.14 / $391.92 / $716.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.90 / $2,165.76 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,594.80 / $2,732.88 / $3,199.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.27 / $333.21 / $547.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.89 / $381.25 / $741.76
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.81 / $715.81 / $1,241.15
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.46 / $278.39 / $521.94
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
$278.72 / $368.75 / $928.52