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California rates for HCPCS 53080

Drainage of perineal urinary extravasation; uncomplicated (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,197.85 / $6,695.00 / $17,902.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.34 / $465.97 / $2,219.59
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,723.00 / $4,505.00 / $9,119.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.39 / $664.01 / $1,270.22
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,826.58
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.36 / $538.25 / $1,310.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$399.11 / $471.68 / $1,111.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.31 / $574.01 / $1,676.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.42 / $442.95 / $581.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.34 / $555.54 / $977.88
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,560.60 / $2,111.33 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,301.51 / $3,410.46 / $3,532.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$437.82 / $564.88 / $813.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.88 / $593.41 / $1,258.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,377.20 / $1,377.20 / $1,377.20
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.42 / $429.11 / $538.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,087.00 / $7,352.00 / $15,471.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.09 / $543.36 / $1,479.06