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California rates for HCPCS 77399

Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$372.64 / $2,264.00 / $2,826.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.79 / $513.79 / $513.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.96 / $58.02 / $262.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109,999.98 / $151,999.98 / $1,858,999.81
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.60 / $181.42 / $410.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.72 / $337.40 / $659.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $1,619.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $85.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.22 / $301.76 / $659.47
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.29 / $133.29 / $220.08