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California rates for HCPCS 35697

Rimpltj Visc Art Infrarnl Aortic Prosth Ea Art

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.88 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,640.00 / $8,323.29 / $17,015.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $5,485.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.03 / $124.89 / $183.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.20 / $166.69 / $308.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $323.57 / $732.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.49 / $189.95 / $280.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,319.00 / $20,279.00