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California rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,992.00 / $8,728.00 / $20,509.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,500.00 / $8,484.00 / $18,150.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $10,150.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$643.00 / $3,461.93 / $9,842.49
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.51 / $1,201.76 / $1,622.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$969.84 / $1,276.04 / $2,407.76
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,532.24 / $16,547.20 / $26,542.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$710.02 / $1,229.10 / $1,789.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,181.00 / $7,218.00 / $15,471.00