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Washington rates for HCPCS 70481

Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.26 / $100.00 / $239.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $602.56
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $85.11 / $245.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.03 / $218.78 / $416.87
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $128.82 / $302.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.81 / $39.81 / $93.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $363.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.67 / $87.10 / $158.49
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$138.04 / $281.84 / $537.03
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$75.86 / $112.20 / $489.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $467.74 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.57 / $107.15 / $147.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$208.93 / $354.81 / $489.78
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $83.18
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.10 / $104.71 / $131.83
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$77.62 / $107.15 / $134.90
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$234.42 / $346.74 / $478.63
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.79 / $70.79 / $72.44
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $537.03
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.44 / $117.49 / $154.88
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $309.03 / $389.05
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.74 / $346.74 / $346.74
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $398.11 / $549.54
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.86 / $112.20 / $151.36
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$186.21 / $288.40 / $416.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $602.56
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.98 / $63.10 / $151.36
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $223.87 / $457.09
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $213.80 / $354.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.48 / $60.26 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $154.88 / $257.04