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California rates for HCPCS Q4235

AMNIOREPAIR or AltiPly, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $87.98 / $88.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $96.77
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.68 / $93.39 / $158.01
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $87.98 / $226.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.98 / $100.00 / $230.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.00 / $83.00 / $87.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $87.98
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.15 / $104.66 / $128.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.26 / $109.98 / $193.56
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.03 / $420.08 / $530.54
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$450.24 / $558.10 / $578.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.66 / $128.45 / $195.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.98 / $96.77 / $151.50
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $163.63
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.38 / $95.15 / $114.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.98 / $87.98 / $167.19