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California rates for HCPCS V2020

Frames Purchases (Special Coverage Instructions Apply. See Mcm: 2130)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.07 / $49.42 / $86.98
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.16 / $181.16 / $181.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.91 / $87.06 / $100.34
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $253.63 / $370.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $36.11
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.31 / $40.00 / $110.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.31 / $90.31 / $193.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151.69 / $183.29 / $476.62
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.04 / $498.74 / $564.45
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.38 / $100.34 / $100.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.11 / $36.11 / $117.59
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.38 / $189.38 / $189.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.71 / $37.54 / $117.33