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California rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Facilitymedian $5,495 · 10th–90th $1,202–$13,4900%5%10%10th90th$5,495Professionalmedian $589 · 10th–90th $302–$1,1220%10%10th90th$589$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
$1,659.59 / $5,888.44 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $3,548.13 / $6,760.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,380.38 / $1,380.38 / $1,380.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $389.05 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $616.60 / $1,148.15
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $4,168.69
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $2,951.21 / $7,943.28