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Washington rates for HCPCS 74176

Ct Abdomen & Pelvis W/O Contrast Material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$93.42 / $114.58 / $301.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.50 / $235.13 / $543.60
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.87 / $93.42 / $244.30
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$119.70 / $150.21 / $305.73
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.18 / $345.59 / $521.51
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.77 / $137.22 / $147.91
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$195.14 / $195.14 / $228.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $770.72 / $770.72
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.29 / $451.64 / $1,608.45
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.19 / $199.02 / $677.40
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.30 / $254.10 / $1,308.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.65 / $367.03 / $608.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.10 / $150.78 / $268.51
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$111.54 / $215.84 / $359.60
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$91.31 / $187.03 / $698.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.97 / $436.60 / $575.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.91 / $174.64 / $227.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.71 / $247.19 / $359.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.48 / $190.88 / $427.77
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$134.19 / $161.65 / $166.83
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$110.48 / $148.19 / $172.82
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$144.10 / $206.98 / $243.21
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$110.99 / $110.99 / $111.51
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.80 / $442.74 / $535.98
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$127.33 / $191.88 / $230.26
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$165.48 / $251.18 / $303.69
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.45 / $446.45 / $782.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.49 / $389.60 / $528.32
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$113.19 / $168.85 / $228.09
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$148.30 / $220.75 / $302.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.70 / $253.46 / $548.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$75.77 / $93.13 / $234.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$96.93 / $135.85 / $304.95
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.45 / $209.45 / $209.45
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$85.77 / $85.77 / $85.77
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$123.68 / $123.68 / $123.68