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California rates for HCPCS 70540

Mri Orbit Face &/Neck W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $389.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.38 / $475.00 / $1,513.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.58 / $140.00 / $322.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$187.50 / $335.00 / $931.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.91 / $205.91 / $217.44
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.85 / $77.43 / $128.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.26 / $538.11 / $1,008.36
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.90 / $86.62 / $179.39
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$217.61 / $451.58 / $827.54
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.58 / $429.17 / $1,014.79
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.61 / $81.36 / $192.79
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$227.28 / $348.23 / $831.17
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.95 / $72.95 / $72.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.27 / $487.97 / $943.28
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.34 / $75.26 / $179.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$161.57 / $374.28 / $808.41
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.97 / $298.36 / $402.79
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.82 / $70.41 / $95.05
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$176.15 / $227.95 / $307.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.65 / $312.99 / $560.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.37 / $91.53 / $400.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.33 / $276.60 / $525.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$580.79 / $580.79 / $596.96
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,821.00 / $2,873.43 / $2,896.26
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$625.77 / $625.77 / $625.77
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,451.15 / $2,524.69 / $2,524.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $236.01
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.95 / $72.95 / $72.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.89 / $510.76 / $832.33
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.90 / $72.83 / $177.39
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.79 / $402.26 / $759.94
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$871.16 / $871.16 / $871.16
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$218.30 / $218.30 / $218.30
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$652.85 / $652.85 / $652.85
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.30 / $331.79 / $1,243.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.17 / $373.07 / $754.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.27 / $69.20 / $161.49
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.88 / $315.52 / $631.40