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California rates for HCPCS A6513

Compression burn mask, face and/or neck, plastic or equal, custom fabricated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.17 / $37.17 / $37.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.74 / $37.17 / $37.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.83 / $304.61 / $515.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.80 / $350.00 / $350.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.21 / $293.27 / $479.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98
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
$65.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.74 / $37.17 / $83.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$872.98 / $872.98 / $872.98