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California rates for HCPCS 28202

Repair, tendon, flexor, foot; secondary with free graft, each tendon (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $7,413.10 / $17,782.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,570.88 / $8,511.38 / $15,848.93
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $3,548.13 / $10,715.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,332.54 / $9,332.54 / $9,332.54
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $575.44 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $660.69 / $1,148.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $26,915.35 / $45,708.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.63 / $707.95 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,981.07 / $7,585.78 / $15,135.61