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California rates for HCPCS 78264

Gastric Emptying Imaging Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.15 / $36.82 / $225.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.87 / $311.04 / $1,444.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.17 / $46.70 / $172.31
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$218.71 / $260.75 / $711.26
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.90 / $243.90 / $243.90
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.15 / $46.44 / $83.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.02 / $337.75 / $728.73
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.41 / $51.10 / $105.66
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$185.36 / $296.91 / $623.96
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.89 / $421.63 / $760.05
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.13 / $42.53 / $100.00
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.79 / $379.79 / $671.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.78 / $365.52 / $965.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.77 / $46.83 / $106.75
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$194.95 / $331.59 / $889.84
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.67 / $396.30 / $535.01
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.57 / $40.77 / $55.04
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$266.10 / $355.52 / $479.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.47 / $388.25 / $693.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.54 / $48.84 / $85.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$272.88 / $394.07 / $668.38
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $168.00 / $180.26
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,023.55 / $2,023.55 / $2,503.19
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$267.48 / $267.48 / $296.55
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,789.49 / $1,789.49 / $2,206.65
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.26 / $351.56 / $930.07
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.29 / $46.83 / $104.20
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$193.87 / $328.09 / $889.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,136.04 / $1,136.04 / $1,136.04
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$126.60 / $126.60 / $126.60
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$1,009.43 / $1,009.43 / $1,009.43
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.17 / $295.67 / $440.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.32 / $343.57 / $921.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.14 / $43.15 / $123.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$171.18 / $295.43 / $977.50