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California rates for HCPCS 28515

Cltx Fx Phlx/Phlg Oth/Thn Grt Toe W/Manj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.00 / $3,747.00 / $15,795.00
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$98.96 / $110.60 / $779.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.49 / $154.19 / $487.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.58 / $294.58 / $294.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,464.00 / $8,976.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.94 / $179.48 / $345.10
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,581.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.86 / $155.51 / $354.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $215.98 / $386.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.18 / $195.26 / $409.32
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.80 / $183.89 / $248.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.36 / $211.58 / $368.82
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $697.92 / $773.06
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$474.73 / $541.14 / $541.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,082.24 / $1,248.08 / $1,429.13
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.96 / $209.12 / $287.89
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$171.92 / $171.92 / $311.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.56 / $206.58 / $413.03
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.65 / $472.65 / $543.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.22 / $148.63 / $237.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.00 / $1,506.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.74 / $162.91 / $366.47