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California rates for HCPCS 43622

Gstrct Tot W/Frmj Intstinal Pouch Any Type

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,262.03 / $10,321.00 / $22,788.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.63 / $2,273.62 / $11,888.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,873.70 / $8,947.00 / $19,298.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.82 / $2,856.03 / $5,746.61
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.90 / $100.00 / $7,344.10
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.72 / $2,126.09 / $5,039.06
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
$1,990.05 / $2,775.29 / $6,216.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.26 / $1,772.46 / $3,165.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,085.17 / $2,718.90 / $5,002.78
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $20,701.04 / $21,195.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16,210.16 / $16,589.28 / $19,860.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,124.25 / $2,780.23 / $3,822.82
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,029.57 / $2,944.23 / $6,141.66
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,376.33 / $7,376.33 / $7,376.33
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,171.26 / $1,991.13 / $2,697.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,055.00 / $4,820.00 / $20,279.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,839.60 / $2,498.62 / $5,487.19