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California rates for HCPCS 21750

Closure of median sternotomy separation with or without debridement (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $7,648.00 / $18,309.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,908.00 / $10,710.50 / $22,790.97
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.40 / $100.00 / $5,321.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $2,277.00 / $2,277.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.27 / $811.24 / $1,216.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.85 / $838.94 / $1,581.09
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $8,354.39 / $8,546.89
Lucent Health
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$131.16 / $307.30 / $325.02
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$698.87 / $863.97 / $1,284.72
Providence
Facility/Professional
Facility
Modifier
AS
Low / Median / High Price
$75.27 / $75.27 / $219.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00