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Washington rates for HCPCS 72265

Myelograpy Lumbosacral Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.03 / $87.21 / $359.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.64 / $129.30 / $248.61
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.20 / $85.27 / $140.57
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $180.13 / $180.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.54 / $259.14 / $1,114.04
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.48 / $168.89 / $909.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.63 / $211.71 / $351.38
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.03 / $145.51 / $233.95
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$38.13 / $87.19 / $2,015.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.76 / $206.86 / $356.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.11 / $126.72 / $244.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.66 / $103.10 / $228.28
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$59.78 / $77.72 / $79.06
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.86 / $128.69 / $170.96
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.00 / $53.00 / $53.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.60 / $257.14 / $311.30
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.39 / $164.36 / $198.97
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,387.45 / $1,387.45 / $2,298.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.54 / $224.00 / $295.83
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.48 / $143.16 / $190.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.66 / $147.15 / $299.04
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.80 / $93.97 / $200.44
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.51 / $122.51 / $122.51
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$80.78 / $80.78 / $80.78