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California rates for HCPCS A6502

Compression burn garment, chin strap, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $89.13 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $95.50 / $95.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $46.77 / $79.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.89 / $138.04 / $630.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $107.15 / $199.53
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $112.20 / $112.20