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Washington rates for HCPCS 73725

Mra Lower Extremity W/Wo Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$95.94 / $190.15 / $310.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.00 / $475.00 / $1,062.31
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$86.55 / $129.13 / $269.89
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$281.79 / $361.04 / $792.41
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$140.60 / $140.60 / $140.60
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$795.52 / $795.52 / $795.52
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.41 / $871.79 / $3,018.44
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.42 / $201.07 / $850.86
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$566.97 / $685.61 / $1,472.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$370.99 / $673.46 / $2,546.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.99 / $733.94 / $1,204.77
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$84.52 / $154.51 / $267.48
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$287.30 / $569.02 / $927.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$83.70 / $178.56 / $234.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.27 / $870.32 / $1,421.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$83.70 / $180.27 / $233.24
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$360.22 / $680.35 / $1,170.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.20 / $318.25 / $770.64
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$138.60 / $167.21 / $172.19
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.31 / $146.49 / $178.89
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$374.26 / $586.91 / $794.02
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$114.16 / $114.16 / $115.16
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$540.76 / $815.75 / $986.27
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$130.47 / $195.05 / $236.81
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$409.82 / $617.32 / $756.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.41 / $716.91 / $1,044.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.42 / $174.38 / $235.44
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$370.99 / $542.53 / $804.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.75 / $498.02 / $1,054.58
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$78.23 / $100.66 / $245.57
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$255.52 / $408.16 / $820.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.41 / $392.41 / $392.41
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.63 / $88.63 / $88.63
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$303.77 / $303.77 / $303.77