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California rates for HCPCS A0425

Ground mileage, per statute mile

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.76 / $160.76 / $160.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $6.22 / $7.26
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.00 / $99,999.99 / $99,999.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $10.00 / $12.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $16.17 / $537.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $6.55 / $32.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$638.07 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.75 / $195.75 / $195.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.39 / $16.17 / $537.17
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.55 / $21.00 / $32.00
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.24 / $8.24 / $8.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.29 / $5.73 / $6.60