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California rates for HCPCS 20955

Bone graft with microvascular anastomosis; fibula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,496.44 / $8,090.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,102.10 / $2,496.44 / $12,891.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.00 / $10,710.50 / $25,419.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,928.37 / $3,671.55 / $7,102.39
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $15,457.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,066.67 / $2,970.17 / $6,519.80
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
$2,515.03 / $3,173.95 / $6,728.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.06 / $2,735.05 / $3,692.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.98 / $3,107.04 / $5,567.19
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $20,260.43 / $25,559.28
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19,665.09 / $20,451.70 / $20,500.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.54 / $3,140.66 / $4,415.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,530.88 / $3,275.84 / $6,538.38
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,998.82 / $7,998.82 / $7,998.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,319.06 / $3,035.36 / $4,386.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,142.00 / $12,377.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,955.07 / $2,570.05 / $5,248.77