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California rates for HCPCS 43400

Ligation Direct Esophageal Varices

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.76 / $9,674.00 / $22,788.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,342.34 / $1,587.16 / $7,841.36
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $8,869.27 / $20,248.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,439.44 / $2,021.88 / $4,112.05
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $5,487.90
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$979.86 / $1,412.61 / $3,356.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$633.00 / $766.00 / $5,431.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,365.06 / $1,882.95 / $4,128.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.81 / $1,264.83 / $2,114.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.17 / $1,805.75 / $3,322.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $27,403.04 / $28,043.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,728.24 / $10,974.56 / $13,128.68
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,431.49 / $1,848.23 / $2,602.92
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,406.79 / $1,968.14 / $4,060.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,865.41 / $4,865.41 / $4,865.41
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.81 / $1,420.88 / $1,802.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,011.00 / $13,007.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,215.19 / $1,687.57 / $4,393.95