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California rates for HCPCS 13102

Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.00 / $4,848.00 / $16,008.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.68 / $98.92 / $505.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.14 / $115.14 / $115.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,539.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.94 / $96.23 / $216.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $5,238.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.09 / $94.43 / $194.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.69 / $115.13 / $236.46
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.26 / $90.45 / $167.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.19 / $118.21 / $241.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$323.95 / $1,888.70 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.96 / $830.32 / $974.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.90 / $105.22 / $167.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.06 / $120.97 / $244.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$236.23 / $236.23 / $396.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $82.40 / $126.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,572.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.18 / $120.05 / $271.93