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California rates for HCPCS 28530

Closed Treatment Sesamoid Fracture

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $107.12 / $428.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.76 / $135.60 / $279.56
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.56 / $116.38 / $265.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $141.77 / $288.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.19 / $165.30 / $207.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.22 / $153.85 / $264.58
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$783.12 / $907.58 / $1,034.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.32 / $151.69 / $290.27
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$334.54 / $334.54 / $385.03
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.10 / $171.00 / $297.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.37 / $116.55 / $271.83