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Washington rates for HCPCS 76499

Unlisted Diagnostic Radiographic Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.39 / $318.39 / $318.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.00 / $467.00 / $645.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$164.79 / $257.51 / $492.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $1,613.12 / $64,999.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.23 / $308.42 / $424.39
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.35 / $38.35 / $9,999.99
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.61 / $82.61 / $547.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.00 / $220.00 / $330.79
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.99 / $251.29 / $489.71
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00