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Washington rates for HCPCS 75989

Radiological Guidance Prq Drg W/Plmt Cath Rs&I

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.67 / $101.97 / $200.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.80 / $143.28 / $332.92
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.29 / $127.00 / $296.93
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.00 / $266.24 / $1,548.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.54 / $238.64 / $352.02
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$70.45 / $120.35 / $146.38
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.41 / $250.12 / $347.94
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.73 / $106.67 / $232.71
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.77 / $107.85 / $111.22
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.29 / $74.29 / $74.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.94 / $257.18 / $313.06
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.00 / $219.57 / $295.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.53 / $125.99 / $308.16