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California rates for HCPCS 71271

Computed Tomography Thorax Lw Dose Lng Ca Scr C-

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.28 / $49.96 / $96.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.55 / $158.85 / $512.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.10 / $57.92 / $184.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.30 / $103.98 / $267.25
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.01 / $139.83 / $197.53
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.69 / $52.56 / $114.50
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$116.09 / $185.10 / $185.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.13 / $183.58 / $374.94
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.81 / $61.81 / $126.30
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.22 / $122.48 / $250.15
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.26 / $161.53 / $369.65
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.36 / $52.38 / $119.87
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.33 / $109.15 / $248.65
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.64 / $58.64 / $58.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.83 / $186.95 / $382.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.74 / $61.50 / $130.80
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.77 / $118.60 / $260.69
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.79 / $178.55 / $241.04
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.81 / $56.63 / $76.45
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.98 / $121.92 / $164.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.94 / $178.55 / $290.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.12 / $67.95 / $107.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.05 / $141.08 / $228.74
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$466.96 / $466.96 / $479.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$915.52 / $915.52 / $1,167.08
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$323.73 / $323.73 / $409.43
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$591.79 / $591.79 / $757.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $83.84
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$58.64 / $58.64 / $58.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.71 / $211.94 / $403.75
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.01 / $58.85 / $129.81
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.13 / $116.14 / $267.66
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.38 / $184.51 / $224.04
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.48 / $161.93 / $401.59
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.91 / $56.63 / $132.44
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.56 / $105.82 / $267.73