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Washington rates for HCPCS 0691T

Automated analysis of an existing computed tomography study for vertebral fracture(s), including assessment of bone density when performed, data preparation, interpretation, and report

Facilitymedian $16 · 10th–90th $9–$170%20%40%10th90th$16Professionalmedian $8 · 10th–90th $6–$180%10%20%10th90th$8$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $25.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $23.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $30.90 / $30.90
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $50.12 / $70.79
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.45 / $17.38 / $17.38
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.75
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.75 / $16.60 / $25.12
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $12.88 / $28.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $16.22 / $22.39
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.00 / $22.91
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62