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California rates for HCPCS 20972

Free osteocutaneous flap with microvascular anastomosis; metatarsal

Facilitymedian $10,000 · 10th–90th $3,631$17,7830%10%10th90th$10,000Professionalmedian $3,311 · 10th–90th $2,239$9,7720%20%10th90th$3,311$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
$3,548.13 / $8,912.51 / $21,379.62
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,137.96 / $2,951.21 / $9,772.37
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,025.60 / $10,715.19 / $17,782.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $4,168.69 / $7,943.28
Blue Shield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $7,244.36 / $14,791.08
Blue Shield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,691.53 / $3,801.89 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,918.31 / $6,918.31 / $6,918.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,311.31 / $6,918.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,818.38 / $3,801.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,344.23 / $3,019.95 / $6,165.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $20,892.96
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20,417.38 / $23,988.33 / $23,988.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,073.80 / $4,073.80 / $4,073.80
Optum
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $70.79
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $3,388.44 / $5,248.07
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,398.83 / $3,311.31 / $7,079.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9,120.11 / $9,120.11 / $9,120.11
The Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $3,162.28 / $4,786.30
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7,762.47 / $14,125.38 / $28,840.32
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,818.38 / $6,309.57