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Washington rates for HCPCS 73222

Mri Any Jt Upper Extremity W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$87.72 / $153.26 / $280.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.47 / $475.00 / $1,045.73
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.00 / $140.00 / $246.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$276.04 / $347.32 / $756.84
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.13 / $589.82 / $598.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.82 / $123.37 / $123.37
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.74 / $165.74 / $165.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$723.52 / $723.52 / $723.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.61 / $779.81 / $3,348.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.72 / $190.75 / $635.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$353.89 / $631.24 / $2,941.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.59 / $681.13 / $1,141.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.87 / $140.06 / $243.46
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$270.55 / $539.28 / $885.86
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$85.42 / $174.33 / $2,217.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.03 / $813.63 / $1,322.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.95 / $163.37 / $211.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$335.73 / $652.03 / $1,112.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.21 / $300.95 / $745.03
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$117.11 / $151.19 / $155.44
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$93.26 / $132.24 / $162.25
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$348.94 / $512.12 / $771.98
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$104.64 / $104.64 / $104.65
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$506.74 / $761.42 / $935.62
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$118.57 / $180.09 / $218.01
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$388.17 / $582.83 / $741.84
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
$460.61 / $669.16 / $988.68
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$106.72 / $158.47 / $213.37
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$353.89 / $511.92 / $757.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.66 / $499.39 / $1,016.91
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$70.86 / $91.48 / $225.99
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$244.49 / $429.49 / $776.33
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.46 / $362.46 / $362.46
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.26 / $80.26 / $80.26
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$282.20 / $282.20 / $282.20