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California rates for HCPCS A4461

Surgical dressing holder, nonreusable, each

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.35 / $13.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.15 / $13.29
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $1.80 / $3.04
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.76 / $2.06 / $4.29
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.82 / $6.77 / $9.71
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.36 / $11.64 / $17.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $1.88
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.61 / $5.07 / $6.22
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.00 / $5.76 / $10.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.36 / $80.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $22.96 / $34.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.45 / $9.45 / $9.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.38 / $4.61 / $6.32
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.88 / $1.88 / $5.05
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.69 / $8.69 / $8.69
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.69 / $3.69 / $4.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.84 / $2.06 / $6.01