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California rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.00 / $41.00 / $1,528.00
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$888.10 / $1,656.36 / $2,656.29
Aetna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$464.37 / $714.32 / $1,105.43
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$84.00 / $860.45 / $1,230.23
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$409.60 / $720.00 / $1,170.00
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$325.00 / $538.20 / $945.00
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$100.55 / $391.17 / $1,727.10
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$334.13 / $1,300.00 / $1,300.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.55 / $181.09 / $424.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.48 / $392.00 / $674.40
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.00 / $82.00 / $82.00
Lucent Health
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$37.00 / $37.00 / $39.50
Lucent Health
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$37.00 / $37.00 / $39.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$651.20 / $3,375.00 / $4,100.00
Providence
Facility/Professional
Facility
Modifier
QK
Low / Median / High Price
$325.60 / $325.60 / $325.60
Providence
Facility/Professional
Facility
Modifier
QX
Low / Median / High Price
$325.60 / $325.60 / $325.60
Providence
Facility/Professional
Facility
Modifier
QY
Low / Median / High Price
$325.60 / $325.60 / $325.60
Providence
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$232.00 / $288.00 / $330.08
Providence
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$232.00 / $288.00 / $330.08