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Washington rates for HCPCS 75810

Splenoportograpy Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,494.22 / $3,494.22 / $3,494.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,752.47 / $3,355.00 / $5,604.12
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,460.79 / $9,011.04 / $11,933.63
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$627.77 / $1,101.56 / $6,869.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,013.30 / $8,495.26 / $12,840.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.76 / $863.68 / $1,399.17
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.57 / $906.34 / $2,923.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.31 / $751.18 / $1,320.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.33 / $56.61 / $80.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.76 / $58.68 / $71.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.75 / $580.75 / $589.99
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$671.06 / $999.23 / $1,224.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,551.62 / $8,807.33 / $17,177.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.28 / $884.34 / $1,295.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,686.30 / $2,802.63 / $2,877.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.05 / $2,423.21 / $8,145.13
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.02 / $71.02 / $71.02