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California rates for HCPCS 20101

Exploration Penetrating Wound Spx Chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$382.96 / $7,108.00 / $18,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.64 / $382.96 / $1,540.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,675.00 / $8,484.00 / $16,676.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.89 / $454.78 / $880.44
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,848.26
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.98 / $365.14 / $723.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.84 / $409.12 / $981.42
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.06 / $230.13 / $842.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.21 / $516.61 / $1,053.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,022.34 / $1,049.94
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,430.00 / $4,557.05 / $4,719.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.29 / $368.90 / $857.70
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.02 / $449.18 / $1,179.06
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.23 / $673.23 / $1,588.06
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.88 / $211.98 / $780.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,230.00 / $4,218.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.75 / $466.14 / $1,107.96