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California rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $341.83 / $1,502.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.00 / $409.54 / $824.04
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.73 / $361.55 / $793.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.30 / $433.96 / $847.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.12 / $355.56 / $577.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.74 / $432.32 / $737.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,001.28 / $2,767.12 / $3,206.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.66 / $469.28 / $941.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$932.10 / $932.10 / $1,303.57
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.56 / $370.65 / $534.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.24 / $391.26 / $894.04