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California rates for HCPCS 15958

Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,494.00 / $18,252.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.00 / $8,823.00 / $17,774.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $9,907.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$838.79 / $1,334.25 / $1,601.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,068.89 / $1,475.78 / $2,693.48
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,570.57 / $11,500.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,054.88 / $1,398.34 / $1,833.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,679.00 / $9,810.00 / $21,278.00