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California rates for HCPCS 71555

Mra Chest W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$140.00 / $140.00 / $518.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.50 / $475.00 / $2,231.02
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.39 / $140.00 / $416.99
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$262.50 / $335.00 / $838.38
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.64 / $752.84 / $752.84
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.83 / $63.83 / $63.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.26 / $700.00 / $1,275.69
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.84 / $115.40 / $241.59
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$306.14 / $580.74 / $1,005.53
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.43 / $506.92 / $1,233.55
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $107.58 / $258.39
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.14 / $400.21 / $961.87
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.95 / $96.95 / $96.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.25 / $572.22 / $1,151.27
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.75 / $105.55 / $237.78
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.16 / $452.10 / $913.18
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.74 / $441.80 / $596.42
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.25 / $93.77 / $126.59
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$260.49 / $348.04 / $469.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.74 / $437.44 / $801.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.09 / $112.52 / $215.67
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$268.36 / $400.25 / $652.72
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$774.40 / $774.40 / $793.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,032.66 / $3,043.62 / $3,048.68
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$854.80 / $854.80 / $854.80
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,562.41 / $2,573.94 / $2,632.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $266.33
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$96.95 / $96.95 / $96.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.33 / $642.05 / $1,082.98
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.52 / $103.20 / $230.27
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$245.29 / $451.16 / $879.67
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,283.77 / $1,283.77 / $1,283.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$291.26 / $291.26 / $291.26
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$992.51 / $992.51 / $992.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.32 / $461.64 / $560.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.61 / $449.61 / $1,015.77
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.52 / $92.16 / $225.89
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.69 / $374.44 / $819.86