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Washington rates for HCPCS 72125

Ct Cervical Spine W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.54 / $70.43 / $142.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.38 / $248.29 / $458.57
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.92 / $57.01 / $147.51
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.49 / $191.04 / $306.32
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.32 / $263.54 / $400.00
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.25 / $75.44 / $90.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$442.24 / $442.24 / $442.24
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $322.39 / $1,609.32
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.14 / $116.69 / $388.43
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.47 / $221.39 / $1,331.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.34 / $311.00 / $492.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$47.19 / $90.96 / $154.12
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.20 / $221.00 / $369.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$55.96 / $110.20 / $319.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.73 / $353.22 / $628.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.06 / $106.07 / $141.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$140.32 / $254.67 / $496.32
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $149.27 / $312.59
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.95 / $92.51 / $102.51
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.94 / $86.94 / $86.94
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.53 / $90.38 / $107.87
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.97 / $236.16 / $345.10
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.87 / $63.87 / $63.98
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.23 / $314.95 / $383.76
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.17 / $108.36 / $131.97
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.06 / $206.38 / $251.78
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.19 / $276.80 / $410.60
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$65.14 / $96.88 / $132.78
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.04 / $179.92 / $277.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.36 / $242.45 / $424.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.56 / $58.10 / $138.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.80 / $149.69 / $291.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.94 / $149.94 / $149.94
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.05 / $49.05 / $49.05
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.91 / $100.91 / $100.91