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Washington rates for HCPCS 72295

Diskograpy Lumbar Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.58 / $88.02 / $359.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.72 / $134.25 / $268.50
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.14 / $45.58 / $98.14
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $178.64 / $178.64
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.63 / $262.30 / $1,963.99
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.98 / $94.26 / $549.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.90 / $216.30 / $385.84
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.75 / $73.65 / $118.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.29 / $89.44 / $4,890.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.68 / $211.22 / $361.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.29 / $86.44 / $108.90
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
$64.34 / $77.81 / $82.41
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.45 / $70.68 / $83.08
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.47 / $53.47 / $53.91
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.06 / $262.30 / $317.97
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.62 / $90.56 / $111.38
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$3,403.52 / $3,403.52 / $5,427.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.22 / $228.79 / $303.05
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$54.98 / $80.95 / $113.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.99 / $157.04 / $316.33
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.11 / $48.04 / $113.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.67 / $125.67 / $125.67
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.34 / $41.34 / $41.34