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California rates for HCPCS 28220

Tenolysis, flexor, foot; single tendon

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $5,505.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.58 / $389.04 / $1,688.18
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,597.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.10 / $449.91 / $878.67
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,826.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $395.30 / $871.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.70 / $525.63 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.13 / $488.76 / $924.60
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.72 / $398.61 / $660.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.16 / $489.40 / $841.68
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,452.88 / $1,562.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,262.40 / $3,238.16 / $3,731.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.94 / $498.30 / $704.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.05 / $531.25 / $1,064.19
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.40 / $1,000.40 / $1,516.12
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.89 / $398.61 / $611.55
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
$351.27 / $463.75 / $1,130.05