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Washington rates for HCPCS 71260

Diagnostic Computed Tomography Thorax W/Contrast

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.42 / $82.64 / $171.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.53 / $316.16 / $634.33
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.67 / $77.59 / $210.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$137.68 / $245.67 / $440.02
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.52 / $159.22 / $357.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.41 / $88.36 / $106.34
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.57 / $63.56 / $108.41
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$518.00 / $518.00 / $518.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.85 / $415.44 / $1,890.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.31 / $137.38 / $455.48
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$164.50 / $300.39 / $1,576.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.73 / $367.86 / $602.92
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.91 / $104.43 / $174.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$129.22 / $266.50 / $454.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$69.30 / $130.41 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.99 / $428.56 / $783.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.17 / $124.64 / $155.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$162.54 / $306.31 / $611.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $156.16 / $375.54
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$90.14 / $108.28 / $119.26
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
$70.80 / $101.46 / $122.82
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$151.60 / $267.89 / $434.24
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$73.84 / $73.84 / $74.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.02 / $404.72 / $495.14
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.06 / $128.72 / $153.72
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$181.97 / $275.58 / $341.64
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
$238.85 / $355.69 / $511.35
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.31 / $113.49 / $156.34
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.55 / $242.20 / $348.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.33 / $290.62 / $537.67
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.17 / $67.06 / $167.38
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.03 / $197.31 / $370.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.00 / $193.00 / $193.00
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.48 / $57.48 / $57.48
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.51 / $135.51 / $135.51