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California rates for HCPCS 15101

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.55 / $6,342.00 / $17,030.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,539.00 / $9,381.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $7,919.07
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.63 / $139.41 / $267.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.09 / $188.46 / $345.12
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$501.09 / $2,955.45 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.10 / $172.92 / $298.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,533.00 / $5,691.00