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California rates for HCPCS 57415

Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,169.00 / $6,218.00 / $17,380.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $4,718.00 / $9,381.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,010.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,115.08 / $2,499.65 / $5,888.95
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.25 / $203.55 / $274.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.06 / $231.48 / $408.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$648.76 / $9,496.40 / $16,394.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.77 / $221.33 / $317.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,610.00 / $7,384.00 / $15,471.00