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California rates for HCPCS 31225

Maxillectomy; without orbital exenteration

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,810.74 / $10,051.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,108.00 / $10,234.59 / $21,555.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $8,389.08
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.91 / $1,531.32 / $2,491.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,818.70 / $2,364.31 / $4,239.34
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $13,253.36 / $16,871.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,779.12 / $2,274.06 / $3,126.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00