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California rates for HCPCS 20103

Exploration Penetrating Wound Spx Extremity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$595.16 / $4,848.00 / $16,125.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.00 / $5,694.00 / $11,233.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,177.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,390.96 / $1,393.42 / $2,491.26
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.05 / $428.56 / $922.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.25 / $588.59 / $1,042.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,609.64 / $1,709.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.79 / $564.10 / $888.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,371.00 / $2,699.00 / $7,655.00