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Washington rates for HCPCS 01922

Anes Non-Invasive Imaging/Radiation Therapy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.50 / $550.40 / $695.68
Aetna
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$805.80 / $1,136.33 / $1,820.00
Aetna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$84.00 / $84.00 / $1,230.23
Ambetter
Facility/Professional
Professional
Modifier
AA
Low / Median / High Price
$267.95 / $759.15 / $991.98
Ambetter
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$225.33 / $478.40 / $565.07
Ambetter
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$189.55 / $225.33 / $225.33
Ambetter
Facility/Professional
Professional
Modifier
QZ
Low / Median / High Price
$193.90 / $243.60 / $720.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$214.00 / $244.00 / $346.16
Asuris Northwest Health
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$214.00 / $253.00 / $364.52
Cigna
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$240.00 / $240.00 / $240.00
Cigna
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$240.00 / $240.00 / $240.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.00 / $416.00 / $552.00
Regence BlueShield
Facility/Professional
Professional
Modifier
QK
Low / Median / High Price
$214.00 / $258.00 / $336.80
Regence BlueShield
Facility/Professional
Professional
Modifier
QX
Low / Median / High Price
$214.00 / $258.00 / $336.80