go back

California rates for HCPCS 66984

Xcapsl Ctrc Rmvl Insj Io Lens Prosth W/O Ecp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,530.35 / $7,841.00 / $17,828.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$13,907.00 / $13,907.00 / $16,606.50
Aetna
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$131.72 / $141.65 / $667.87
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$493.96 / $531.16 / $2,504.51
Aetna
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$98.79 / $106.23 / $500.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.31 / $663.56 / $2,539.92
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$3,992.71 / $4,329.68 / $4,329.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$276.39 / $329.31 / $1,443.23
Aetna
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$391.26 / $498.59 / $1,235.53
Aetna
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$60.70 / $98.79 / $399.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.40 / $491.18 / $926.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,456.00 / $10,275.00 / $21,136.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$742.69 / $1,094.88 / $1,961.09
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$807.79 / $974.02 / $1,477.30
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.70 / $100.00 / $14,458.60
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.29 / $788.23 / $1,786.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.60 / $1,625.00 / $2,353.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.04 / $810.44 / $1,735.61
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.34 / $1,005.21 / $1,702.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.18 / $674.54 / $1,271.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$2,970.00 / $2,970.00 / $2,970.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,498.41 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Facility
Modifier
53
Low / Median / High Price
$250.20 / $1,305.69 / $1,305.69
Lucent Health
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$875.69 / $4,569.92 / $4,569.92
Lucent Health
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$187.65 / $979.27 / $979.27
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,762.00 / $6,076.05 / $6,276.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$650.41 / $885.37 / $1,630.79
Providence
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$1,011.14 / $1,011.14 / $1,011.14
Providence
Facility/Professional
Facility
Modifier
55
Low / Median / High Price
$252.78 / $252.78 / $252.78
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.98 / $847.23 / $1,723.60
Providence
Facility/Professional
Professional
Modifier
54
Low / Median / High Price
$799.59 / $996.02 / $1,196.24
Providence
Facility/Professional
Professional
Modifier
55
Low / Median / High Price
$199.90 / $249.01 / $299.06
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,027.00 / $4,027.00 / $4,027.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,791.00 / $1,791.00 / $1,791.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.16 / $1,306.77 / $2,155.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,701.06 / $7,042.00 / $14,636.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.49 / $630.07 / $1,486.22