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California rates for HCPCS A6503

Compression burn garment, facial hood, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.26 / $147.94 / $250.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $170.00 / $170.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.60 / $146.63 / $239.69
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
$100.00 / $100.00 / $187.52
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.58 / $139.60 / $139.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.00 / $50.00 / $112.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00