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Washington rates for HCPCS 75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$41.91 / $69.20 / $119.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.72 / $115.31 / $257.19
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.18 / $169.56 / $169.56
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.44 / $239.04 / $820.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.26 / $184.56 / $294.88
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.65 / $67.81 / $89.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.16 / $203.09 / $284.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.10 / $104.85 / $234.59
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$56.43 / $67.47 / $75.04
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$50.28 / $50.28 / $51.18
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.08 / $219.14 / $268.07
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.44 / $188.01 / $253.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.69 / $110.19 / $262.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.13 / $106.22 / $106.22