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California rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $5,576.00 / $17,030.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.07 / $307.39 / $1,288.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,143.00 / $5,769.00 / $11,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.32 / $386.02 / $820.99
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,881.37
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.94 / $279.91 / $688.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.93 / $407.64 / $960.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.21 / $347.27 / $842.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.38 / $268.32 / $407.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.71 / $325.47 / $561.74
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,398.60 / $1,406.82 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,681.00 / $2,140.08 / $2,480.69
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.09 / $320.29 / $501.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.77 / $358.90 / $775.41
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.84 / $688.84 / $1,005.01
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.43 / $271.02 / $411.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$545.00 / $1,523.00 / $6,920.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.94 / $348.10 / $1,049.14