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California rates for HCPCS 28003

I&D Below Fascia Foot Multiple Areas

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$678.49 / $6,229.00 / $17,133.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.51 / $574.88 / $1,560.97
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $115.01 / $220.78
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
$488.92 / $793.82 / $1,621.60
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,908.14
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$473.44 / $676.34 / $1,444.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,277.00 / $3,101.23 / $5,554.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.78 / $746.52 / $1,346.57
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.33 / $529.19 / $843.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.58 / $396.89 / $744.62
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,473.78 / $1,476.72 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,742.05 / $3,433.90 / $4,711.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.74 / $485.58 / $886.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.36 / $746.16 / $1,385.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,843.15 / $1,843.15 / $2,328.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.64 / $400.85 / $1,003.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,359.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.13 / $697.71 / $1,550.07