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California rates for HCPCS 67101

Rpr Retinal Dtchmnt Drg Subretinal Fluid Crtx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.82 / $631.11 / $939.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.58 / $325.58 / $325.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$469.24 / $896.41 / $1,508.36
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$488.05 / $697.21 / $1,435.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$337.01 / $668.52 / $1,015.78
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.51 / $409.95 / $532.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.47 / $380.13 / $767.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,252.00 / $4,446.43 / $4,446.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.61 / $666.20 / $1,012.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$935.17 / $935.17 / $1,096.26
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.61 / $380.13 / $551.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.31 / $518.33 / $1,079.21