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California rates for HCPCS 40842

Vestibuloplasty Posterior Unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$563.77 / $768.24 / $4,077.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$736.70 / $1,065.84 / $2,310.17
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$564.24 / $806.05 / $1,992.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.29 / $968.71 / $2,289.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.55 / $786.29 / $1,306.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$625.76 / $929.25 / $1,653.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,475.43 / $5,985.68 / $6,982.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.29 / $1,009.40 / $2,289.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,218.48 / $2,218.48 / $3,014.30
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$577.22 / $793.68 / $1,116.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.40 / $969.41 / $2,756.18