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California rates for HCPCS 54164

Frenulotomy of penis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.52 / $6,505.00 / $17,030.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,759.00 / $4,718.00 / $9,381.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $6,919.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,212.60 / $1,433.09 / $3,376.23
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.25 / $230.97 / $311.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.17 / $260.22 / $460.81
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$725.68 / $5,444.45 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.84 / $254.08 / $369.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,384.00 / $16,148.00