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Georgia 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
$52.48 / $57.54 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $151.36 / $380.19
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $51.29 / $95.50
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.86 / $97.72 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $81.28 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.89 / $36.31 / $47.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.10 / $125.89 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.54 / $35.48 / $56.23
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $85.11 / $144.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $79.43 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $154.88 / $309.03
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.12 / $41.69 / $83.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$63.10 / $109.65 / $208.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $131.83 / $363.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $35.48 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $95.50 / $263.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $79.43 / $169.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $117.49 / $229.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $33.88 / $63.10
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.57 / $85.11 / $162.18