go back

California rates for HCPCS 40520

Exc Lip V-Exc W/Prim Dir Linr Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$566.82 / $5,505.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.12 / $479.22 / $2,012.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,931.00 / $11,456.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.78 / $606.80 / $1,156.96
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,010.49
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.82 / $519.74 / $1,075.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.70 / $530.94 / $1,021.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$253.16 / $491.71 / $749.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$367.29 / $552.30 / $985.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,484.71 / $7,909.30 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,621.76 / $3,645.28 / $4,269.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$381.22 / $540.92 / $786.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.64 / $555.10 / $1,042.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,164.94 / $1,164.94 / $1,648.21
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.11 / $455.70 / $693.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,348.00 / $4,243.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.89 / $513.49 / $1,158.77