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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
$37.15 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $28.84 / $37.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $331.13 / $831.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $363.08
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96
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
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $151.36 / $151.36
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $37.15 / $66.07
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $870.96 / $870.96