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California rates for HCPCS 63268

Lam Exc/Evac Ispi Les Oth/Thn Neo Xdrl Sacral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,616.00 / $9,006.00 / $21,073.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $9,644.00 / $18,544.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.80 / $100.00 / $5,770.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,340.00 / $4,340.00 / $4,340.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.05 / $1,590.47 / $2,147.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,336.71 / $1,838.78 / $3,313.43
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $12,580.65 / $15,270.66
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,446.38 / $1,811.74 / $2,560.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,212.00 / $13,651.00 / $29,312.00