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California rates for HCPCS 77290

Therapeutic radiology simulation-aided field setting; complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.88 / $75.54 / $491.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.64 / $615.03 / $2,374.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.33 / $97.37 / $389.12
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$394.43 / $508.06 / $2,094.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.15 / $509.10 / $1,013.11
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.42 / $139.50 / $190.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$414.66 / $625.14 / $1,363.55
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.36 / $104.39 / $221.02
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$320.08 / $519.94 / $1,153.48
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.48 / $517.16 / $1,259.09
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.92 / $73.65 / $182.69
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$301.58 / $444.78 / $1,077.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.89 / $618.74 / $1,543.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.98 / $98.87 / $226.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.50 / $538.59 / $1,322.01
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.88 / $587.26 / $792.80
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.38 / $95.24 / $128.57
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.51 / $492.02 / $664.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.76 / $587.26 / $1,103.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.76 / $117.69 / $196.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$379.19 / $576.91 / $925.00
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$192.44 / $1,357.70 / $1,357.70
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,499.00 / $4,499.00 / $4,499.00
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$1,350.00 / $1,350.00 / $1,350.00
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$3,149.00 / $3,149.00 / $3,149.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.89 / $641.66 / $1,459.65
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.01 / $98.87 / $221.63
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$333.91 / $543.29 / $1,318.63
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,680.35 / $1,680.35 / $1,680.35
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$272.54 / $272.54 / $272.54
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,407.81 / $1,407.81 / $1,407.81
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.84 / $402.51 / $653.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.61 / $635.17 / $1,554.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.29 / $106.47 / $279.52
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$316.08 / $528.71 / $1,286.72