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Washington rates for HCPCS 73702

Ct Lower Extremity W/O & W/Contrast Matrl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.64 / $127.17 / $210.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.82 / $350.87 / $622.37
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.78 / $69.09 / $128.88
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.73 / $285.00 / $541.57
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.48 / $31.48 / $31.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$537.20 / $537.20 / $537.20
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $504.42 / $2,082.64
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $139.91 / $471.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$202.74 / $381.65 / $1,754.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.80 / $465.28 / $731.06
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$57.04 / $104.41 / $180.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$160.02 / $352.55 / $588.71
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.93 / $129.61 / $539.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.16 / $537.41 / $920.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$63.69 / $128.02 / $157.78
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$228.87 / $416.23 / $776.18
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.60 / $201.84 / $457.79
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.44 / $112.30 / $116.58
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.29 / $140.29 / $140.29
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.59 / $105.16 / $128.76
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$253.94 / $361.20 / $572.85
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.69 / $77.69 / $77.92
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.91 / $473.23 / $576.58
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$87.84 / $133.43 / $159.34
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$224.76 / $343.44 / $417.46
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$346.39 / $346.39 / $851.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.89 / $415.89 / $616.92
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$79.45 / $117.64 / $159.11
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$201.43 / $298.25 / $457.85
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.24 / $353.17 / $639.79
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.76 / $68.80 / $169.97
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.47 / $300.13 / $471.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.59 / $226.59 / $226.59
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$59.51 / $59.51 / $59.51
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$167.08 / $167.08 / $167.08