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California rates for HCPCS 77011

Computed tomography guidance for stereotactic localization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.23 / $165.96 / $380.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $436.52 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $67.61 / $213.80
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$158.49 / $389.05 / $1,047.13
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $52.48 / $52.48
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $169.82 / $169.82
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $630.96 / $1,148.15
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.29 / $79.43 / $177.83
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$295.12 / $549.54 / $933.25
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $812.83
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.79 / $100.00 / $213.80
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $281.84 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $416.87 / $870.96
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $77.62 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $346.74 / $741.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $295.12 / $398.11
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $70.79 / $95.50
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $229.09 / $309.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $295.12 / $562.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.26 / $83.18 / $141.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$177.83 / $263.03 / $426.58
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$562.34 / $562.34 / $562.34
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,388.44 / $3,388.44
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$436.52 / $501.19 / $501.19
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,090.30 / $3,090.30 / $3,090.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $60.26 / $208.93
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $457.09 / $851.14
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.70 / $75.86 / $158.49
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.88 / $371.54 / $741.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $776.25 / $776.25
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$204.17 / $204.17 / $204.17
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$575.44 / $575.44 / $575.44
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $275.42 / $338.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $363.08 / $831.76
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.65 / $64.57 / $154.88
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $269.15 / $707.95