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California rates for HCPCS 75625

Aortography, abdominal, by serialography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.85 / $55.05 / $385.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.60 / $206.55 / $399.11
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.65 / $56.88 / $173.25
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.99 / $163.68 / $323.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.29 / $106.29 / $106.29
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.75 / $143.83 / $143.83
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.28 / $282.44 / $633.91
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.10 / $80.93 / $258.57
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.73 / $208.67 / $470.98
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.96 / $256.91 / $567.26
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.48 / $60.90 / $149.31
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.70 / $196.38 / $426.28
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.09 / $77.09 / $77.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.77 / $237.67 / $676.72
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.64 / $73.75 / $164.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.42 / $152.22 / $550.66
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.98 / $150.22 / $202.81
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.69 / $69.77 / $94.19
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.29 / $80.47 / $108.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.06 / $151.69 / $261.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.79 / $84.41 / $131.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.38 / $93.08 / $150.93
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$155.03 / $317.02 / $317.02
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,098.01 / $3,190.96 / $3,190.96
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$636.41 / $636.41 / $636.41
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$2,808.09 / $2,892.33 / $2,892.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $80.43
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.09 / $77.09 / $77.09
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.46 / $264.69 / $608.22
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.63 / $71.86 / $152.06
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.40 / $171.18 / $580.48
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.46 / $453.46 / $453.46
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$222.00 / $222.00 / $222.00
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.45 / $231.45 / $231.45
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.36 / $166.87 / $630.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.99 / $182.87 / $478.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.08 / $71.81 / $159.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.65 / $107.81 / $376.05