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California rates for HCPCS 41015

Xtroral I&D Absc Cst/Hmtma Floor Mouth Sublngl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$502.07 / $5,165.00 / $17,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.29 / $392.54 / $1,658.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.00 / $4,314.00 / $8,260.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.10 / $457.91 / $968.04
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $5,122.07
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.08 / $432.89 / $951.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$339.00 / $508.30 / $960.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.89 / $486.25 / $1,009.65
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.03 / $382.82 / $599.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.52 / $441.29 / $791.85
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,093.16 / $2,093.16 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,221.36 / $2,927.52 / $3,371.93
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $335.01
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.57 / $443.76 / $674.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.07 / $536.10 / $1,017.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,032.40 / $1,032.40 / $1,354.58
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.02 / $320.02 / $555.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.00 / $1,358.00 / $5,830.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.80 / $452.28 / $1,086.01