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Washington rates for HCPCS 73050

Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$10.23 / $16.98 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $38.90 / $123.03
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$7.08 / $10.96 / $33.88
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$30.20 / $37.15 / $54.95
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$15.14 / $25.12 / $69.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $46.77 / $46.77
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.02 / $15.85 / $16.22
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.88 / $33.88 / $33.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $51.29 / $91.20
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $15.49 / $26.92
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.05 / $35.48 / $63.10
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$11.22 / $18.20 / $165.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $61.66 / $83.18
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$10.00 / $17.78 / $24.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.70 / $44.67 / $60.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $32.36 / $33.11
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$14.79 / $17.78 / $19.95
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.59 / $18.20 / $21.88
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$30.20 / $41.69 / $53.70
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$12.30 / $12.30 / $12.30
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.81 / $64.57 / $85.11
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.30 / $20.42 / $26.92
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $44.67 / $60.26
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$158.49 / $158.49 / $158.49
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $60.26 / $81.28
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $19.50 / $25.70
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$27.54 / $41.69 / $57.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $36.31 / $77.62
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$8.91 / $10.96 / $25.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.95 / $25.70 / $56.23
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.62 / $36.31 / $60.26
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$9.55 / $10.96 / $18.20
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$21.88 / $25.12 / $41.69