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California rates for HCPCS 21155

Rcnstj Midface Lefort Iii W/Lefort I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,184.52 / $8,090.00 / $18,309.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,815.86 / $2,183.87 / $11,334.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,667.00 / $11,825.00 / $23,587.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,516.94 / $3,211.80 / $6,112.73
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $100.00 / $11,616.47
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,962.58 / $2,805.42 / $6,138.96
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
$2,230.98 / $2,822.75 / $5,953.81
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.42 / $1,659.22 / $3,041.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,964.64 / $2,757.14 / $4,935.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $19,610.56 / $20,170.48
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22,628.38 / $22,628.38 / $22,628.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,254.66 / $2,900.29 / $4,319.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,230.98 / $2,900.29 / $5,811.28
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,032.96 / $7,032.96 / $7,032.96
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,425.35 / $1,973.56 / $2,700.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,830.00 / $12,341.00 / $26,451.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,688.85 / $2,296.71 / $4,766.25