go back

California rates for HCPCS 93990

Duplex Scan Hemodialysis Access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.83 / $119.81 / $444.89
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.78 / $13.05 / $13.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.01 / $135.68 / $277.36
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.77 / $21.38 / $48.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.35 / $109.21 / $211.04
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.20 / $143.93 / $258.47
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.44 / $159.28 / $330.07
Anthem BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.85 / $19.64 / $38.15
Anthem BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$104.46 / $140.32 / $303.54
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.60 / $222.69 / $2,144.44
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.04 / $214.40 / $447.42
Blue Shield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.75 / $16.79 / $40.78
Blue Shield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$131.96 / $197.94 / $407.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.68 / $308.88 / $11,719.00
Cigna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.97 / $233.45 / $446.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.23 / $25.59 / $59.11
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.02 / $211.29 / $391.13
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.75 / $109.20 / $225.84
Contra Costa Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.05 / $15.29 / $31.93
Contra Costa Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.71 / $93.91 / $195.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.27 / $186.08 / $343.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.29 / $28.73 / $50.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.68 / $185.18 / $313.44
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.79 / $601.01 / $708.89
Lucent Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.72 / $102.96 / $107.64
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,122.59 / $1,197.25 / $1,230.05
Lucent Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$198.13 / $198.13 / $198.13
Lucent Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$934.20 / $1,126.14 / $1,157.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $166.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.72 / $176.22 / $280.93
Providence
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$26.75 / $26.75 / $26.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.35 / $256.79 / $411.01
Providence
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$13.23 / $25.33 / $55.05
Providence
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.02 / $211.35 / $369.61
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.12 / $519.12 / $519.12
Sutter Health Plus
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.84 / $77.84 / $77.84
Sutter Health Plus
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$441.28 / $441.28 / $441.28
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $102.92 / $193.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.92 / $175.60 / $344.66
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.08 / $22.58 / $48.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.04 / $154.56 / $296.30