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California rates for HCPCS 22101

Prtl Exc Pst Vrt Intrnsc B1y Les 1 Vrt Sgm Thrc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $6,695.00 / $17,809.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.57 / $802.20 / $4,420.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,007.00 / $14,981.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$902.10 / $1,176.21 / $2,319.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $15,668.76
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.38 / $837.33 / $1,905.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,340.00 / $4,340.00 / $4,340.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.38 / $1,058.92 / $2,280.82
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$497.02 / $752.14 / $1,276.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$823.10 / $1,152.20 / $2,088.89
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $9,287.85 / $17,132.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,333.84 / $6,395.04 / $7,896.08
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.00 / $1,101.40 / $1,485.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$797.38 / $1,081.07 / $2,275.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,786.67 / $2,786.67 / $2,786.67
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$646.13 / $894.64 / $1,132.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$678.78 / $888.97 / $1,853.29