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California rates for HCPCS 39503

Rpr Neonatal Diphrg Hernia W/Wo Chest Tube Insj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,749.00 / $10,061.00 / $22,788.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,046.81 / $5,657.21 / $21,732.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,863.00 / $12,014.00 / $25,103.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,548.23 / $8,581.36 / $17,266.50
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.50 / $100.00 / $22,046.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,888.89 / $5,951.53 / $14,710.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,664.61 / $7,390.60 / $20,563.22
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$927.77 / $1,403.99 / $7,027.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,416.56 / $7,005.14 / $12,564.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $42,466.16 / $52,424.72
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40,052.16 / $41,111.36 / $48,947.03
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,574.73 / $6,774.61 / $9,405.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,604.11 / $7,390.60 / $15,985.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18,654.75 / $18,654.75 / $18,654.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,009.00 / $5,159.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,849.62 / $7,101.19 / $21,989.55