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California rates for HCPCS 76120

Cineradiography/videoradiography, except where specifically included

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.11 / $96.25 / $336.89
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.09 / $17.30 / $76.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.59 / $78.93 / $259.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.94 / $95.85 / $200.64
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.00 / $25.19 / $50.69
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.57 / $70.47 / $149.94
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.17 / $101.71 / $211.59
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.75 / $22.61 / $52.22
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$64.01 / $81.72 / $162.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.06 / $109.87 / $300.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.55 / $23.71 / $50.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.13 / $87.40 / $238.79
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.72 / $146.00 / $197.10
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.60 / $21.01 / $28.36
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.12 / $124.99 / $168.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.85 / $143.41 / $230.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.48 / $25.21 / $39.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.99 / $144.53 / $234.35
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$751.09 / $751.09 / $924.90
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$205.00 / $205.00 / $205.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$630.88 / $630.88 / $773.40
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $90.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.20 / $145.00 / $312.68
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.55 / $23.30 / $49.68
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$53.21 / $84.22 / $223.43
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.73 / $363.73 / $363.73
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.34 / $61.34 / $61.34
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$302.38 / $302.38 / $302.38
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $128.55 / $162.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.86 / $110.43 / $279.24
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.66 / $20.05 / $46.23
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.50 / $90.94 / $227.28