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Washington rates for HCPCS 73040

Radiologic examination, shoulder, arthrography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $57.54 / $95.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $123.03 / $288.40
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.88 / $30.20 / $83.18
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$69.18 / $104.71 / $239.88
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.88 / $33.88 / $33.88
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $144.54 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $190.55 / $398.11
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $42.66 / $77.62
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.13 / $147.91 / $323.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $51.29 / $851.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $199.53 / $338.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.70 / $47.86 / $67.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $151.36 / $281.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $69.18
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.65 / $52.48 / $52.48
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $45.71 / $56.23
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$93.33 / $128.82 / $204.17
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.31 / $36.31 / $36.31
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $380.19
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.31 / $58.88 / $79.43
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.54 / $234.42 / $309.03
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$707.95 / $707.95 / $707.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $263.03 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $56.23 / $74.13
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$141.25 / $208.93 / $295.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $134.90 / $316.23
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.99 / $29.51 / $69.18
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.86 / $104.71 / $251.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $162.18 / $269.15
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.92 / $30.90 / $51.29
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.82 / $131.83 / $213.80