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Washington rates for HCPCS 72130

Ct Thoracic Spine W/O & W/Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.33 / $133.76 / $218.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.60 / $275.00 / $519.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.56 / $72.47 / $134.66
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$108.04 / $108.04 / $108.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$565.04 / $565.04 / $565.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.44 / $494.80 / $2,293.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.70 / $141.79 / $523.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.31 / $473.26 / $731.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.81 / $108.86 / $190.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$66.64 / $136.21 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.33 / $541.08 / $935.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.21 / $127.46 / $165.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.65 / $201.84 / $457.79
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.38 / $118.06 / $121.27
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.98 / $109.55 / $126.60
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$81.09 / $81.09 / $81.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.61 / $481.89 / $589.67
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$91.42 / $138.55 / $167.78
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
$286.44 / $423.50 / $628.22
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.70 / $123.87 / $166.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.09 / $340.39 / $641.37
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.22 / $68.20 / $171.01
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.53 / $230.53 / $230.53
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$62.65 / $62.65 / $62.65