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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
$49.74 / $53.98 / $53.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.52 / $53.98 / $90.53
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.74 / $87.66 / $87.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.00 / $393.93 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.09 / $164.36 / $219.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.50 / $416.37 / $493.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.84 / $129.77 / $178.43
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.13 / $93.13 / $93.13
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.30 / $91.30 / $183.30