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Washington rates for HCPCS 72265

Myelography, lumbosacral, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $87.10 / $141.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $114.82 / $275.42
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.71 / $72.44 / $173.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $190.55 / $331.13
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.23 / $134.90 / $218.78
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.67 / $77.62 / $1,698.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $199.53 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $125.89 / $190.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $56.23
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.57 / $77.62 / $79.43
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.44 / $120.23 / $169.82
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.48 / $52.48 / $53.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $245.47 / $316.23
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $158.49 / $204.17
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$1,380.38 / $1,380.38 / $1,380.38
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $229.09 / $309.03
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.72 / $144.54 / $194.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $281.84
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.26 / $89.13 / $177.83
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $131.83 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $85.11 / $141.25