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California rates for HCPCS 41250

Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $6,456.54 / $16,982.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,630.78 / $6,165.95 / $13,489.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.07 / $162.18 / $7,762.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $660.69 / $891.25
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $199.53 / $524.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $346.74 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $28,840.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.36 / $263.03 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $1,479.11 / $6,025.60