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California rates for HCPCS 54162

Lysis/Excision Penile Postcircumcision Adhesions

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$490.00 / $5,815.00 / $16,573.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.78 / $300.61 / $1,093.93
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,718.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.00 / $337.35 / $712.27
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,919.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.16 / $344.88 / $823.15
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.60 / $1,433.09 / $3,376.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.59 / $312.39 / $724.09
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $276.00 / $398.06
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.17 / $289.08 / $520.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$941.36 / $1,003.20 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,467.60 / $1,863.68 / $2,149.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.19 / $289.33 / $443.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.88 / $327.01 / $686.45
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$652.91 / $652.91 / $850.07
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.38 / $255.40 / $340.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,842.00 / $7,163.00 / $16,148.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.57 / $317.77 / $855.54