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California rates for HCPCS 53621

Dilat Urethral Strix Filiform & Follwr Male Sbsq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$344.00 / $4,932.00 / $16,713.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.68 / $118.56 / $457.96
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
$84.04 / $139.19 / $316.63
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $1,588.01
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.87 / $133.08 / $279.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.44 / $158.88 / $374.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.15 / $134.46 / $371.94
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.73 / $122.11 / $220.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.61 / $165.21 / $299.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.56 / $9,102.00 / $11,500.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.21 / $1,154.40 / $1,343.70
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.58 / $127.12 / $261.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.53 / $145.60 / $387.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.74 / $233.74 / $463.35
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.40 / $154.00 / $223.21
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$421.00 / $1,506.00 / $6,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.46 / $164.36 / $573.26