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Arizona rates for HCPCS 75571

Ct Heart No Contrast Quant Eval Coronry Calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.61 / $93.35 / $275.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.51 / $99.53 / $465.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.03 / $29.82 / $77.53
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.50 / $63.49 / $164.22
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.19 / $89.04 / $100.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.04 / $31.73 / $54.02
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.98 / $116.54 / $145.68
BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.95 / $27.38 / $34.22
BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.02 / $89.17 / $111.46
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.30 / $117.83 / $224.67
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.94 / $33.90 / $56.10
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.40 / $81.81 / $161.62
Medica
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$255.84 / $255.84 / $255.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $97.21 / $659.39
Medica
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.60 / $26.84 / $173.89
Medica
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.04 / $74.06 / $485.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.84 / $90.98 / $180.72
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.15 / $25.15 / $53.30
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.04 / $66.12 / $125.30