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California rates for HCPCS 88304

Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.38 / $288.08 / $318.97
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$57.75 / $57.75 / $61.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.32 / $63.39 / $190.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.90 / $12.73 / $55.09
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.50 / $53.40 / $148.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.93 / $40.10 / $221.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.31 / $14.86 / $49.02
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.48 / $15.48 / $15.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.20 / $72.86 / $140.52
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.32 / $16.71 / $37.60
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$20.42 / $59.38 / $112.91
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.64 / $67.14 / $163.66
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.92 / $28.22 / $71.14
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.72 / $38.92 / $100.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.06 / $73.06 / $73.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.07 / $34.54 / $116.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.57 / $6.96 / $28.14
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.79 / $28.30 / $90.02
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.48 / $55.77 / $75.29
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.48 / $16.85 / $24.38
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$6.10 / $43.29 / $58.44
HealthNet
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.47 / $15.47 / $15.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.23 / $51.90 / $91.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.98 / $14.98 / $18.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$31.98 / $51.79 / $64.94
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.82 / $208.80 / $228.14
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.85 / $100.00 / $100.00
Lucent Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$83.75 / $164.16 / $173.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.03 / $360.92 / $370.81
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$191.54 / $191.54 / $191.54
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.14 / $271.66 / $275.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $34.59 / $47.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.43 / $67.50 / $98.81
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.94 / $63.92 / $116.52
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$5.59 / $7.17 / $32.59
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.79 / $30.78 / $90.02
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.88 / $155.88 / $155.88
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.17 / $43.17 / $43.17
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.70 / $112.70 / $112.70
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.10 / $45.10 / $62.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.00 / $105.00 / $105.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $37.17 / $97.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$6.53 / $7.32 / $25.47
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.97 / $29.95 / $79.64