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California rates for HCPCS C5276

Low Cost Skin Substitute App

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.13 / $5,812.00 / $17,013.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,935.00 / $4,969.00 / $18,483.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.01 / $8.01 / $8.01
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.09 / $79.00 / $91.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.00 / $120.00 / $393.93
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
$60.00 / $60.00 / $60.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,800,000.00 / $2,250,000.00 / $2,400,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.00 / $1,523.00 / $6,323.00