go back

California rates for HCPCS Q2004

Bladder Calculi Irrig Sol

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.79 / $242.86 / $267.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.79 / $100.79 / $171.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.90 / $112.32 / $145.71
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.60 / $101.19 / $101.19
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.70 / $97.40 / $121.43
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.79 / $100.79 / $249.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $11.82 / $11.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.00 / $279.00 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.36 / $734.60 / $734.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.73 / $121.43 / $144.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.82 / $16.61 / $196.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.19 / $101.19 / $221.43