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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
$27.54 / $38.02 / $251.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.48 / $158.49 / $331.13
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $58.88 / $107.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $41.69 / $79.43
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $69.18 / $85.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.71 / $58.88 / $109.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $741.31 / $1,949.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $42.66 / $134.90
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $114.82 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $51.29 / $239.88