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California rates for HCPCS 74022

Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.39 / $15.13 / $92.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.64 / $55.86 / $237.94
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.58 / $17.61 / $67.38
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.22 / $35.79 / $85.29
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.28 / $53.58 / $88.25
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.34 / $14.18 / $29.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.32 / $60.52 / $117.63
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.54 / $21.06 / $41.40
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$26.71 / $39.44 / $79.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.67 / $54.96 / $127.15
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.81 / $18.80 / $44.39
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.80 / $36.15 / $95.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.36 / $17.36 / $17.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.07 / $61.82 / $132.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.40 / $19.42 / $42.52
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.97 / $41.97 / $94.62
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.42 / $64.48 / $87.05
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.80 / $17.05 / $23.03
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.62 / $47.42 / $64.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.49 / $64.25 / $106.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.10 / $20.47 / $32.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.94 / $54.90 / $89.01
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.63 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.19 / $321.19 / $420.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$128.79 / $128.79 / $128.79
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$254.00 / $254.00 / $295.35
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $38.25
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$17.36 / $17.36 / $17.36
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.26 / $66.87 / $133.88
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.51 / $18.95 / $42.33
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$28.00 / $41.15 / $90.83
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.77 / $160.77 / $160.77
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.93 / $51.93 / $51.93
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.84 / $108.84 / $108.84
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.14 / $71.69 / $111.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.53 / $51.53 / $123.02
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.45 / $17.45 / $40.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$24.15 / $34.03 / $84.62