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Washington rates for HCPCS 70540

Mri Orbit Face &/Neck W/O Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$71.56 / $118.53 / $231.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.52 / $475.00 / $720.48
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$71.56 / $126.00 / $203.08
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$203.29 / $335.00 / $517.40
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$179.09 / $179.09 / $179.09
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.06 / $105.82 / $109.13
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$596.96 / $596.96 / $596.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.87 / $561.66 / $2,821.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.78 / $150.72 / $625.77
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.09 / $436.72 / $2,451.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.42 / $524.75 / $885.86
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.14 / $115.68 / $200.79
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$189.79 / $407.21 / $699.56
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.69 / $143.97 / $698.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.48 / $608.39 / $1,214.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.62 / $135.19 / $174.93
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$247.00 / $463.69 / $1,045.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.36 / $239.82 / $486.63
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$103.88 / $124.74 / $128.63
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.09 / $120.33 / $139.10
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$284.24 / $396.27 / $672.03
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$86.07 / $86.07 / $86.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$364.97 / $549.61 / $696.38
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$97.60 / $147.56 / $177.15
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$267.02 / $408.03 / $519.52
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $782.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$329.87 / $483.02 / $706.33
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.78 / $130.79 / $176.58
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$242.09 / $352.23 / $529.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.17 / $422.81 / $746.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.29 / $76.79 / $185.07
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$166.88 / $343.58 / $608.62
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.43 / $262.43 / $262.43
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$66.14 / $66.14 / $66.14
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$196.29 / $196.29 / $196.29