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Washington rates for HCPCS 76536

Us Soft Tissue Head & Neck Real Time Imge Docm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.43 / $390.10 / $718.00
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.67 / $35.58 / $75.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.34 / $154.88 / $468.15
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.07 / $37.96 / $103.26
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$46.89 / $70.72 / $162.07
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$83.28 / $110.76 / $246.99
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.74 / $207.31 / $251.28
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$20.87 / $41.73 / $48.25
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$154.05 / $154.05 / $180.62
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.68 / $323.56 / $514.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.16 / $122.00 / $122.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $282.77 / $954.30
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.42 / $64.26 / $255.92
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.27 / $211.10 / $734.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $359.42 / $498.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.04 / $207.72 / $358.82
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.37 / $48.87 / $81.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.76 / $160.19 / $276.06
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.19 / $233.66 / $351.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.64 / $57.62 / $95.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.63 / $233.66 / $316.82
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.64 / $56.24 / $70.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$89.90 / $175.09 / $252.23
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $108.56 / $292.67
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.37 / $216.06 / $231.52
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.40 / $52.69 / $53.60
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.15 / $45.60 / $58.80
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$100.90 / $145.79 / $185.74
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $151.27 / $152.66
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.10 / $36.10 / $36.69
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.69 / $254.90 / $310.25
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.76 / $61.63 / $74.05
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$130.94 / $193.27 / $236.20
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.02 / $304.02 / $592.49
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.69 / $221.80 / $297.30
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.42 / $53.63 / $71.34
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$118.27 / $168.94 / $228.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.12 / $56.15 / $74.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $129.13 / $339.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.77 / $31.36 / $75.33
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.03 / $97.55 / $232.58
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.64 / $125.64 / $125.64
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.01 / $28.01 / $28.01
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.63 / $97.63 / $97.63