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California rates for HCPCS 19112

Excision of lactiferous duct fistula

Facilitymedian $7,413 · 10th–90th $2,754$15,8490%5%10%10th90th$7,413Professionalmedian $447 · 10th–90th $282$1,4790%5%10%10th90th$447$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $7,413.10 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $416.87 / $1,778.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,570.88 / $7,943.28 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $512.86 / $1,202.26
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $5,495.41 / $10,471.29
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $457.09 / $1,023.29
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,949.84 / $1,949.84 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $1,122.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $426.58 / $776.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $549.54 / $977.24
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,912.51 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,388.44 / $3,890.45 / $3,890.45
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $645.65
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $524.81 / $851.14
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $489.78 / $1,000.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,023.29 / $1,023.29 / $1,513.56
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $478.63 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,890.45 / $7,413.10 / $15,135.61
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $436.52 / $1,122.02