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Washington rates for HCPCS 75571

Ct Heart No Contrast Quant Eval Coronry Calcium

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.41 / $51.65 / $99.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.52 / $127.31 / $371.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.79 / $33.29 / $86.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.50 / $95.89 / $222.47
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.05 / $192.79 / $216.15
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.39 / $47.32 / $74.23
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.10 / $163.10 / $176.32
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.94 / $255.84 / $255.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.30 / $244.60 / $885.15
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $65.84 / $224.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$94.16 / $174.00 / $660.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.60 / $187.35 / $345.04
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.17 / $49.38 / $86.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.52 / $135.51 / $252.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.64 / $60.76 / $236.39
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.09 / $204.12 / $291.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.66 / $57.64 / $75.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.68 / $143.26 / $215.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $103.73 / $228.30
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$44.55 / $54.03 / $54.94
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.79 / $45.82 / $57.81
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.64 / $124.26 / $151.41
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.02 / $37.02 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.25 / $237.62 / $289.22
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.64 / $63.15 / $77.11
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$115.89 / $174.92 / $211.83
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.94 / $156.94 / $209.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.37 / $210.30 / $276.00
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $56.05 / $75.42
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.49 / $155.28 / $210.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.49 / $111.78 / $293.55
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.96 / $30.91 / $78.95
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.34 / $87.00 / $207.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.84 / $116.84 / $116.84
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.68 / $28.68 / $28.68
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.16 / $88.16 / $88.16