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California rates for HCPCS G0117

Glaucoma Screening For High Risk Patients Furnished By An Optometrist Or Ophthalmologist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.31 / $52.72 / $77.62
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.36 / $64.02 / $161.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.05 / $39.35 / $78.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $56.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.30 / $89.43 / $109.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $81.30 / $148.53
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.92 / $398.92 / $525.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.24 / $56.24 / $122.85
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.72 / $184.72 / $184.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.57 / $49.40 / $118.79