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California rates for HCPCS A9999

Miscellaneous Dme Supply Or Accessory Not Otherwise Specified

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.48 / $69.62 / $117.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.50 / $2.50 / $98.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $70.08 / $70.08
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 / $600.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $6.56 / $6.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400,000.00 / $2,400,000.00 / $2,400,000.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.08 / $70.08 / $70.08