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California rates for HCPCS G0288

Reconstruction, computed tomographic angiography of aorta for surgical planning for vascular surgery

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.83 / $46.95 / $183.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.26 / $134.81 / $331.50
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.40 / $46.09 / $102.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $165.30
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.05 / $68.26 / $83.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.90 / $60.36 / $107.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.09 / $1,888.73 / $1,964.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $41.66 / $110.40
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.01 / $114.01 / $114.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.72 / $52.93 / $192.23