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Washington rates for HCPCS 70543

Mri Orbit Face & Neck W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.76 / $188.05 / $333.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.08 / $522.50 / $1,295.84
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.00 / $154.00 / $369.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.87 / $348.53 / $758.77
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.37 / $648.07 / $1,014.62
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$163.43 / $175.28 / $271.19
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$530.10 / $530.10 / $530.10
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $950.80 / $950.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.34 / $842.48 / $5,981.06
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.06 / $240.60 / $883.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.28 / $638.58 / $5,438.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.62 / $751.12 / $1,340.22
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.66 / $183.49 / $319.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$277.76 / $595.20 / $1,032.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$111.93 / $229.38 / $1,102.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.00 / $882.39 / $1,806.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$99.20 / $214.07 / $278.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$360.31 / $678.97 / $1,567.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.21 / $300.95 / $745.03
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$165.55 / $200.09 / $205.02
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$136.80 / $179.36 / $215.73
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$408.03 / $595.58 / $921.50
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$136.35 / $136.35 / $137.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.46 / $822.83 / $1,043.64
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$155.65 / $232.97 / $282.67
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$391.26 / $597.86 / $747.87
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$714.15 / $714.15 / $1,538.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.34 / $723.14 / $1,052.14
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$139.06 / $208.29 / $279.58
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$355.28 / $514.85 / $772.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.21 / $633.41 / $1,144.03
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$92.95 / $120.24 / $298.45
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$243.26 / $500.83 / $887.31
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.77 / $392.77 / $392.77
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.23 / $106.23 / $106.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$286.54 / $286.54 / $286.54