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California rates for HCPCS 21139

Rdctj Fhd Cntrg & Setback Ant Frontal Sinus Wall

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.71 / $9,006.00 / $21,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$827.82 / $1,004.71 / $3,802.03
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,447.00 / $18,544.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,120.59 / $1,431.64 / $2,823.94
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,290.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.76 / $1,181.95 / $2,690.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $5,729.24 / $10,261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.05 / $1,342.25 / $3,000.15
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$819.06 / $1,263.71 / $1,706.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.74 / $1,415.48 / $2,614.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,084.96 / $16,547.20
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,050.27 / $10,050.27 / $10,050.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,122.33 / $1,401.75 / $2,156.54
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,018.05 / $1,392.18 / $2,909.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,634.51 / $3,634.51 / $3,634.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,020.12 / $1,228.58 / $1,549.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,799.00 / $12,313.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.02 / $1,099.08 / $2,651.19