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California rates for HCPCS 84252

Riboflavin (Vitamin B-2)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.36 / $54.71 / $195.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.17 / $18.07 / $24.21
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.11 / $12.14 / $14.06
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.18 / $48.82 / $293.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.99 / $15.94 / $43.87
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46.50 / $89.10 / $257.63
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.54 / $17.92 / $69.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.02 / $26.58 / $67.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.16 / $24.56 / $36.14
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.98 / $20.23 / $32.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $20.23 / $45.87
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $96.72 / $109.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.14 / $12.14 / $12.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.79 / $23.42 / $55.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.45 / $20.23 / $40.47
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.04 / $71.04 / $71.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.19 / $20.23 / $28.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.50 / $12.14 / $38.88