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California rates for HCPCS 39501

Repair Laceration Diaphragm Any Approach

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.72 / $9,639.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,597.00 / $11,055.00 / $23,736.18
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
$714.82 / $922.62 / $1,107.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.36 / $1,065.24 / $1,907.66
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $10,283.52 / $12,787.84
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$848.67 / $1,103.73 / $1,665.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,047.00 / $5,067.00 / $20,279.00