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California rates for HCPCS A2009

Symphony, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.98 / $48.98 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.98 / $67.61 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $109.65 / $125.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.50 / $125.89 / $134.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $199.53 / $239.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $173.78 / $269.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$69.18 / $165.96 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $125.89 / $125.89
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $147.91 / $204.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $125.89 / $162.18