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California rates for HCPCS 28630

Cltx Metatarsophlngl Jt Dislc W/O Anes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.59 / $139.75 / $626.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.92 / $152.03 / $311.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $140.13 / $295.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.05 / $169.12 / $332.92
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.06 / $128.82 / $209.35
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.98 / $171.29 / $301.69
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.00 / $1,135.68 / $1,330.05
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.24 / $182.27 / $372.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.91 / $360.91 / $515.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.38 / $115.50 / $211.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.23 / $157.15 / $342.51