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California rates for HCPCS 28495

Cltx Fx Grt Toe Phlx/Phlg W/Manj

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.80 / $163.80 / $647.63
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.08 / $188.87 / $365.61
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.61 / $172.30 / $395.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.53 / $212.91 / $430.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.90 / $192.07 / $259.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.69 / $231.31 / $386.40
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,134.88 / $1,359.20 / $1,575.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.08 / $224.87 / $439.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.93 / $491.93 / $594.11
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $155.24 / $261.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.69 / $180.00 / $415.66