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Washington rates for HCPCS 74248

Radiologic Small Intestine Follow-Through Study

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.53 / $60.06 / $93.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.89 / $91.78 / $189.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.89 / $36.63 / $81.67
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.92 / $53.82 / $102.20
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.48 / $53.21 / $54.81
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.85 / $149.85 / $149.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.88 / $198.69 / $707.48
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.74 / $80.70 / $272.55
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.61 / $117.81 / $434.93
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.44 / $149.83 / $262.52
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.52 / $60.40 / $99.28
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.92 / $86.88 / $163.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.39 / $69.70 / $91.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.79 / $175.23 / $234.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.45 / $73.26 / $90.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.70 / $102.35 / $138.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.48 / $70.94 / $222.87
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.90 / $65.14 / $66.33
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.40 / $53.90 / $69.29
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.73 / $95.56 / $99.83
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.79 / $44.79 / $44.85
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.94 / $191.18 / $233.06
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.10 / $75.84 / $93.30
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$78.08 / $117.17 / $140.40
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $169.20 / $231.78
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.74 / $67.81 / $91.96
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.61 / $103.07 / $139.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.67 / $96.81 / $229.28
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.71 / $39.10 / $92.76
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$47.96 / $56.66 / $131.66
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.69 / $91.69 / $91.69
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.59 / $34.59 / $34.59
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$57.10 / $57.10 / $57.10