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California rates for HCPCS C2615

Sealant, pulmonary, liquid

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$659.93 / $1,143.96 / $2,244.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.37 / $659.93 / $1,401.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,480.00 / $4,480.00 / $4,480.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.00 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $100.00 / $392.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.70 / $448.80 / $448.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.37 / $659.93 / $2,521.90
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00