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California rates for HCPCS 75571

Ct Heart No Contrast Quant Eval Coronry Calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.36 / $26.69 / $167.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $99.77 / $508.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.78 / $30.40 / $124.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.50 / $55.33 / $316.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.02 / $108.79 / $272.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.97 / $44.41 / $121.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.51 / $105.89 / $213.27
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.47 / $35.52 / $69.92
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.29 / $69.73 / $135.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.70 / $52.25 / $187.99
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.54 / $35.20 / $92.13
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$13.11 / $17.12 / $100.00
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
$61.83 / $117.92 / $302.49
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.90 / $32.86 / $76.83
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.25 / $83.29 / $226.45
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.33 / $132.66 / $179.10
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.96 / $30.48 / $41.15
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.37 / $102.19 / $137.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.07 / $134.32 / $222.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.99 / $36.58 / $62.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.84 / $118.28 / $191.75
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.68 / $251.68 / $255.84
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.39 / $659.39 / $857.33
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.89 / $173.89 / $221.33
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$485.50 / $485.50 / $636.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $69.17
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.27 / $31.27 / $31.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.25 / $138.49 / $285.00
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.09 / $31.49 / $76.31
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.76 / $80.30 / $211.82
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.50 / $349.50 / $349.50
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.99 / $93.99 / $93.99
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.50 / $255.50 / $255.50
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.73 / $120.70 / $147.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.34 / $106.46 / $267.29
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.89 / $29.59 / $69.56
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.45 / $76.87 / $197.44