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California rates for HCPCS 28264

Capsulotomy Midtarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.72 / $4,969.00 / $16,573.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,597.00 / $9,381.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,999.02
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,487.00 / $1,646.28 / $2,948.55
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.96 / $877.23 / $1,288.01
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$703.13 / $1,007.17 / $1,685.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,171.45 / $3,471.49 / $12,000.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$823.26 / $1,078.25 / $1,410.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,284.00 / $12,267.00 / $26,109.00