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California rates for HCPCS 21355

Percutaneous treatment of fracture of malar area, including zygomatic arch and malar tripod, with manipulation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $7,413.10 / $18,197.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $457.09 / $1,819.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,128.31 / $15,848.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $489.78 / $1,000.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,890.45 / $9,332.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $501.19 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $2,754.23 / $2,754.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $489.78 / $912.01
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $380.19 / $758.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $467.74 / $851.14
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,943.28 / $7,943.28 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $3,801.89 / $3,801.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $630.96
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $478.63 / $794.33
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $512.86 / $954.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,412.54
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $245.47 / $489.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,760.83 / $12,302.69 / $25,703.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $794.33