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California rates for HCPCS A4301

Implantable Access Total Catheter Port/Reservoir (E.G. Venous Arterial Epidural Or Subarachnoid Peritoneal Etc.) (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.79 / $411.60 / $411.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.00 / $34.49 / $411.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.72 / $39.42 / $104.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.95 / $22.73 / $22.73
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.42 / $68.05 / $99.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.00 / $33.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $950.51 / $950.51
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.28 / $122.28 / $122.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.03 / $34.49 / $307.18
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.02 / $2.02 / $2.02