go back

California rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,031.80 / $1,155.99 / $6,328.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.10 / $1,759.08 / $3,415.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$992.14 / $1,434.79 / $3,158.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,161.75 / $1,519.29 / $3,275.93
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.29 / $852.42 / $1,649.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,063.18 / $1,491.78 / $2,665.83
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9,976.00 / $9,976.00 / $9,976.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.09 / $1,573.88 / $3,220.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,926.69 / $3,926.69 / $3,926.69
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.28 / $1,065.92 / $1,465.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.51 / $1,267.76 / $2,661.08