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California rates for HCPCS 30210

Displacement therapy (Proetz type)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $158.49 / $575.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $151.36 / $354.81
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $169.82 / $354.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $165.96 / $363.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $120.23 / $223.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $302.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,096.48 / $1,288.25 / $1,288.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $208.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $169.82 / $371.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $323.59 / $501.19
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $85.11 / $173.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $141.25 / $346.74