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California rates for HCPCS 67400

Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration, with or without biopsy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,387.00 / $6,640.00 / $17,380.00
Aetna
Facility/Professional
Facility
Modifier
50
Low / Median / High Price
$30,154.50 / $30,154.50 / $30,154.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.22 / $936.11 / $3,022.54
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,241.33 / $1,241.33 / $6,841.86
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.71 / $1,000.71 / $1,000.71
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,275.00 / $7,007.00 / $14,981.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$859.55 / $1,245.95 / $2,409.61
Anthem BCBS
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$1,343.77 / $1,511.74 / $2,025.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.00 / $100.00 / $8,190.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$658.53 / $951.53 / $2,187.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.29 / $2,256.40 / $3,075.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$841.50 / $1,147.48 / $2,646.19
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$505.96 / $1,253.68 / $1,692.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$972.39 / $1,294.49 / $2,441.36
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,580.18 / $11,500.00 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7,410.64 / $7,723.36 / $8,466.23
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $1,319.39 / $1,831.02
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$874.79 / $1,258.69 / $2,755.70
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,246.98 / $3,246.98 / $3,246.98
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.04 / $910.72 / $1,393.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,331.00 / $9,699.00 / $20,988.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.06 / $973.47 / $2,218.98