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Washington rates for HCPCS 74740

Hysterosalpingography, radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $35.48 / $66.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $100.00 / $275.42
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $169.82 / $186.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $134.90 / $288.40
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$20.42 / $35.48 / $630.96
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $144.54 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $54.95
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $35.48 / $36.31
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.55 / $24.55 / $24.55
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.82 / $204.17 / $269.15
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$446.68 / $446.68 / $446.68
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $190.55 / $269.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $97.72 / $239.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $177.83