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California rates for HCPCS 25145

Sequestrectomy (eg, for osteomyelitis or bone abscess), forearm and/or wrist

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
$444.87 / $531.74 / $2,730.09
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
$608.44 / $796.36 / $1,579.41
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,230.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$485.86 / $694.08 / $1,519.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$541.27 / $763.35 / $1,505.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.13 / $691.10 / $1,140.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.27 / $700.35 / $1,252.22
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $8,957.00 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,565.78 / $4,922.89 / $5,085.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$569.19 / $753.92 / $1,127.69
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$545.14 / $807.26 / $1,406.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,693.95 / $1,693.95 / $1,693.95
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.29 / $697.38 / $1,140.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,523.00 / $9,707.00 / $20,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.96 / $570.91 / $1,159.26