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California rates for HCPCS 20103

Exploration of penetrating wound (separate procedure); extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $6,025.60 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $1,548.82 / $5,754.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $389.05 / $1,000.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $602.56 / $1,122.02
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.95 / $56.23 / $3,981.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $588.84 / $977.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,951.21 / $7,943.28