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California rates for HCPCS 15100

Split Agrft T/A/L 1st 100 Cm/&/1% Bdy Inft/Chld

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$843.50 / $5,505.00 / $16,210.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$633.74 / $785.28 / $2,065.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,931.00 / $11,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.71 / $824.98 / $1,761.15
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
$596.53 / $852.19 / $1,822.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.34 / $940.36 / $1,902.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.45 / $952.91 / $1,396.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$708.11 / $984.54 / $1,689.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,339.76 / $5,564.75 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,155.28 / $6,224.16 / $7,385.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$656.00 / $907.91 / $1,325.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.81 / $985.62 / $1,902.81
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,321.14 / $2,321.14 / $2,832.05
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.08 / $668.81 / $1,148.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.00 / $4,218.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.69 / $880.99 / $1,942.20