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California rates for HCPCS L8613

Ossicula Implant (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.31 / $185.36 / $1,022.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.16 / $185.36 / $1,022.68
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.00 / $162.59 / $429.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.42 / $186.75 / $381.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $470.29 / $1,095.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.41 / $274.27 / $274.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $233.13 / $282.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.56 / $354.45 / $425.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.67 / $248.12 / $549.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.81 / $1,683.64 / $1,683.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,930.99 / $1,930.99 / $3,017.18
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.40 / $313.36 / $361.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.13 / $274.27 / $343.86
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.01 / $669.01 / $669.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.93 / $171.31 / $342.97