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California rates for HCPCS 25101

Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,820.00 / $6,695.00 / $17,701.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $7,007.00 / $14,981.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,181.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $3,101.23 / $5,554.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.67 / $499.33 / $674.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.29 / $556.75 / $988.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,547.76 / $8,957.00 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$442.88 / $564.42 / $800.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,523.00 / $9,758.00 / $21,278.00