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California rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.66 / $65.73 / $398.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $118.54 / $282.88
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $73.39 / $281.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.90 / $175.07 / $439.37
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.78 / $94.78 / $245.11
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.73 / $174.77 / $394.08
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.63 / $90.60 / $220.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $160.38 / $518.73
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.70 / $86.06 / $265.24
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.06 / $115.35 / $138.41
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.93 / $77.11 / $92.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.37 / $128.81 / $226.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.40 / $96.39 / $177.35
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.69 / $305.79 / $336.21
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,748.00 / $1,748.00 / $1,748.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$496.08 / $496.08 / $543.29
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.55 / $181.50 / $422.31
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.70 / $85.51 / $192.89
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.31 / $307.31 / $307.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$222.51 / $222.51 / $222.51
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.27 / $128.25 / $583.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $104.83 / $322.45
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.26 / $69.65 / $228.22