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California rates for HCPCS 67015

Aspiration/Release Vitreous Subretinal/Choroidal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,256.22 / $5,206.00 / $16,573.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.74 / $544.77 / $1,680.43
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$587.44 / $587.44 / $587.44
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,546.00 / $4,617.00 / $9,381.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.57 / $770.20 / $1,489.86
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $5,591.57
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$415.81 / $601.41 / $1,383.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.64 / $1,726.46 / $2,353.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.91 / $712.13 / $1,585.12
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.30 / $726.60 / $980.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.65 / $755.15 / $1,421.90
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,814.37 / $11,500.00 / $12,000.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,346.72 / $4,503.84 / $4,949.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.00 / $765.17 / $1,198.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.27 / $757.14 / $1,625.97
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,948.34 / $1,948.34 / $1,948.34
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.37 / $595.51 / $807.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,523.00 / $7,352.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.41 / $590.20 / $1,474.00