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California rates for HCPCS 92575

Sensorineural acuity level test

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $67.61 / $131.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $61.66 / $234.42
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $39.81 / $100.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $74.13 / $213.80
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $9.33 / $114.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $87.10 / $141.25
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $630.96 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $77.62 / $199.53
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $95.50 / $117.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $58.88 / $123.03