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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
$50.12 / $50.12 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $50.12 / $50.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $162.18 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $169.82 / $169.82
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.25 / $239.88
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
$186.21 / $186.21 / $186.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $109.65 / $138.04
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $52.48 / $104.71
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $79.43 / $79.43