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California rates for HCPCS A9505

Thallium Tl-201 thallous chloride, diagnostic, per mCi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32.53 / $32.53 / $273.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.35 / $32.53 / $55.89
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.98 / $36.25 / $47.03
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $34.97 / $65.06
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.50 / $102.00 / $122.00
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.91 / $33.22 / $83.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $33.31
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $26.58 / $31.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.00 / $154.00 / $389.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.02 / $216.18 / $216.18
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.51 / $354.51 / $354.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.31 / $74.31 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.31 / $39.19 / $48.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.31 / $33.31 / $37.22
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.58 / $29.24 / $45.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.65 / $32.65 / $65.56