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California rates for HCPCS 76536

Us Soft Tissue Head & Neck Real Time Imge Docm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.36 / $529.50 / $1,146.99
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.53 / $31.20 / $163.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.34 / $156.63 / $596.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.07 / $40.92 / $141.68
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$45.40 / $56.91 / $337.21
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.75 / $103.70 / $437.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.69 / $110.80 / $225.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$19.78 / $28.68 / $60.04
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.77 / $107.82 / $177.91
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.56 / $475.00 / $706.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.13 / $140.87 / $299.74
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.49 / $38.51 / $74.06
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.43 / $106.31 / $225.67
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.40 / $126.30 / $558.89
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.99 / $113.09 / $282.77
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.42 / $26.84 / $74.56
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.56 / $88.49 / $218.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.29 / $327.41 / $681.32
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.47 / $30.47 / $30.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.91 / $146.87 / $339.40
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.26 / $35.26 / $77.23
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.98 / $113.60 / $263.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.74 / $142.97 / $193.02
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.74 / $29.78 / $40.20
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.00 / $113.20 / $152.82
HealthNet
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.53 / $144.53 / $172.35
HealthNet
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.42 / $30.42 / $30.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.63 / $144.44 / $256.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.34 / $37.15 / $62.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.56 / $132.84 / $222.11
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.68 / $514.16 / $584.77
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.44 / $122.00 / $131.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.73 / $726.73 / $920.03
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$255.92 / $255.92 / $255.92
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$554.94 / $554.94 / $703.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $93.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.35 / $147.72 / $262.37
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.47 / $30.47 / $30.47
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.71 / $156.35 / $322.58
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.26 / $33.97 / $74.95
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.48 / $108.44 / $262.68
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$388.07 / $388.07 / $388.07
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.69 / $91.69 / $91.69
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$296.37 / $296.37 / $296.37
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.62 / $128.55 / $158.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$143.63 / $143.63 / $143.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.59 / $118.01 / $336.09
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.04 / $28.87 / $77.40
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.98 / $89.16 / $258.69