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California rates for HCPCS 67115

Release Encircling Material Posterior Segment

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,919.00 / $5,980.00 / $16,973.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.63 / $504.85 / $2,641.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,097.00 / $5,977.00 / $13,012.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.85 / $638.50 / $1,254.86
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $7,159.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.75 / $453.51 / $1,042.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.60 / $2,977.65 / $4,058.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.39 / $590.62 / $1,349.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.99 / $599.84 / $809.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$468.87 / $624.57 / $1,194.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,712.42 / $11,879.05 / $16,394.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,606.16 / $3,718.32 / $4,103.47
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$534.73 / $669.53 / $960.37
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.12 / $634.08 / $1,368.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,638.82 / $1,638.82 / $1,638.82
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.76 / $545.46 / $778.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,735.64 / $7,352.00 / $14,743.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.70 / $493.50 / $1,117.56