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Washington rates for HCPCS 70492

Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.87 / $141.53 / $250.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $371.00 / $654.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.17 / $86.87 / $183.36
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$178.14 / $285.00 / $526.09
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.43 / $175.43 / $750.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.07 / $122.27 / $122.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.16 / $714.16 / $714.16
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $569.64 / $2,036.01
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.34 / $182.86 / $626.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.37 / $385.08 / $2,005.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.23 / $480.54 / $786.29
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.09 / $135.63 / $240.17
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.90 / $330.74 / $560.79
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.41 / $162.66 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.52 / $534.16 / $956.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.64 / $155.34 / $206.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$198.19 / $386.44 / $728.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.71 / $222.56 / $499.23
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.99 / $145.99 / $154.77
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $140.29 / $155.88
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.86 / $122.96 / $154.21
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$231.95 / $363.44 / $517.94
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.28 / $103.28 / $103.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.70 / $535.42 / $647.36
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$117.12 / $174.92 / $214.34
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$238.16 / $357.48 / $439.73
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $851.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.70 / $470.56 / $644.39
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$105.34 / $156.38 / $212.45
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$214.37 / $314.17 / $428.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.36 / $344.28 / $700.00
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.63 / $87.54 / $220.93
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.50 / $280.08 / $463.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.85 / $254.85 / $254.85
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.47 / $79.47 / $79.47
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$175.37 / $175.37 / $175.37