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California rates for HCPCS 23174

Sequestrectomy (eg, for osteomyelitis or bone abscess), humeral head to surgical neck

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.00 / $6,159.00 / $17,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$636.15 / $744.75 / $3,990.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,944.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$849.69 / $1,066.09 / $2,133.71
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,373.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.59 / $857.48 / $1,934.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $6,894.76 / $12,348.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.44 / $958.15 / $2,071.27
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.22 / $906.60 / $1,223.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$740.62 / $1,011.09 / $1,815.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,330.92 / $16,394.00 / $19,913.50
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,170.75 / $7,170.75 / $7,170.75
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.14 / $1,004.21 / $1,437.87
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.44 / $1,022.05 / $2,044.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,475.92 / $2,475.92 / $2,475.92
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$731.78 / $910.83 / $1,148.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,523.00 / $9,713.00 / $21,278.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.11 / $788.48 / $1,692.20