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Washington rates for HCPCS 76497

Unlisted computed tomography procedure (eg, diagnostic, interventional)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.72 / $213.80 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $123.03 / $275.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $263.03 / $426.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $194.98 / $363.08
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $223.87 / $316.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $218.78 / $302.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $50.12 / $75.86
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.18 / $213.80 / $223.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $257.04 / $489.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $218.78 / $302.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $331.13 / $588.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.07 / $66.07 / $66.07