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California rates for HCPCS 21246

Rcnstj Mndbl/Maxl Subpriosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,645.00 / $9,674.00 / $21,960.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$720.17 / $833.04 / $4,570.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,585.00 / $11,216.00 / $21,514.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$971.08 / $1,217.21 / $2,415.40
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
$694.77 / $1,001.14 / $2,237.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,445.00 / $5,729.24 / $10,261.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.56 / $1,092.59 / $2,387.67
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.70 / $994.51 / $1,350.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.62 / $1,110.66 / $1,986.73
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,254.80 / $16,547.20 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13,243.52 / $13,243.52 / $13,243.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.21 / $1,159.94 / $1,939.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.81 / $1,138.18 / $2,319.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,835.98 / $2,835.98 / $2,835.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$803.47 / $1,070.55 / $1,350.05
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
$666.36 / $888.48 / $1,935.11