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California rates for HCPCS 54690

Laparoscopy Surgical Orchiectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,696.00 / $9,727.00 / $20,509.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.38 / $720.16 / $3,554.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,629.00 / $7,309.00 / $15,328.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$832.24 / $1,090.80 / $2,097.25
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $20,559.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.44 / $696.48 / $1,707.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,613.43 / $12,122.00 / $14,696.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.11 / $860.77 / $2,515.06
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.76 / $735.59 / $993.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.42 / $845.93 / $1,518.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,233.74 / $16,223.75 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,850.93 / $4,888.96 / $5,463.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.30 / $899.41 / $1,407.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.79 / $869.77 / $1,857.58
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,144.85 / $2,144.85 / $2,144.85
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.76 / $722.63 / $911.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,696.00 / $13,555.00 / $29,312.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.27 / $814.42 / $2,313.23