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California rates for HCPCS 75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.12 / $35.48 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $131.83 / $537.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.55 / $38.90 / $112.20
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.66 / $83.18 / $338.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $269.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.18 / $51.29 / $64.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $154.88 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $112.20 / $245.47
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $38.02 / $74.13
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.29 / $72.44 / $177.83
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.86 / $74.13 / $204.17
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.11 / $45.71 / $85.11
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $24.55 / $114.82
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.76 / $31.62 / $44.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $128.82 / $275.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.50 / $34.67 / $72.44
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.70 / $91.20 / $204.17
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $131.83 / $177.83
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $30.90 / $41.69
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.88 / $102.33 / $138.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $128.82 / $218.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $35.48 / $57.54
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.11 / $112.20 / $186.21
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$251.19 / $251.19 / $251.19
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $851.14 / $851.14
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$173.78 / $223.87 / $223.87
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$489.78 / $630.96 / $630.96
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $117.49
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$6.76 / $31.62 / $44.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $134.90 / $275.42
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.22 / $31.62 / $69.18
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $83.18 / $190.55
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.33 / $93.33 / $93.33
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$257.04 / $257.04 / $257.04
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $114.82 / $147.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $100.00 / $223.87
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $28.18 / $58.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$48.98 / $74.13 / $165.96