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California rates for HCPCS 15201

Fth/Gft Fr W/Dir Clsr Trnk Ea Addl 20 Sq Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.08 / $5,382.00 / $16,713.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,931.00 / $11,456.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $6,929.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.69 / $99.17 / $202.16
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.61 / $141.72 / $258.64
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$345.15 / $2,000.00 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.93 / $123.63 / $210.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,533.00 / $5,691.00