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California rates for HCPCS 99284

Emergency Department Visit Moderate Mdm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.00 / $2,370.91 / $6,584.00
Aetna
Facility/Professional
Facility
Modifier
25
Low / Median / High Price
$1,324.55 / $3,561.31 / $7,165.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.28 / $132.00 / $403.06
Aetna
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$97.70 / $280.42 / $547.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.22 / $332.31 / $495.76
Ambetter
Facility/Professional
Professional
Modifier
25
Low / Median / High Price
$114.62 / $301.07 / $575.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $2,827.00 / $13,163.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.77 / $164.79 / $299.72
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$498.06 / $498.06 / $3,141.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $131.05 / $309.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.63 / $139.63 / $4,051.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.43 / $149.16 / $391.75
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.34 / $126.77 / $171.14
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.09 / $332.30 / $539.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.09 / $153.91 / $346.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.75 / $355.19 / $573.99
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$748.12 / $748.12 / $748.12
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $719.00
Optum
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $130.90 / $246.32
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.28 / $142.62 / $199.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.37 / $167.15 / $319.87
Sutter Health Plus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $165.00 / $182.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.28 / $133.44 / $304.83
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.31 / $140.68 / $140.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.49 / $123.09 / $279.45