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Washington rates for HCPCS 76604

Us Chest Real Time W/Image Documentation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$30.92 / $35.86 / $90.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.16 / $91.98 / $256.08
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.46 / $32.75 / $97.65
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$28.62 / $44.08 / $228.44
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$33.32 / $63.28 / $160.69
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.77 / $115.20 / $177.38
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.64 / $37.01 / $48.82
Ambetter
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$11.44 / $57.96 / $107.71
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.94 / $49.94 / $49.94
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$64.51 / $122.62 / $122.62
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.44 / $153.59 / $487.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $64.91 / $265.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$15.42 / $15.42 / $35.69
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$44.43 / $80.58 / $398.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.95 / $126.92 / $195.30
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.00 / $48.70 / $81.05
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$46.73 / $79.83 / $116.59
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$25.11 / $55.05 / $90.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.67 / $163.16 / $223.79
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.11 / $53.70 / $70.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.28 / $110.49 / $157.60
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.62 / $65.14 / $147.48
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.89 / $52.02 / $54.94
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.43 / $92.43 / $92.43
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.34 / $46.04 / $55.27
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.44 / $90.00 / $117.99
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.56 / $36.56 / $37.15
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.75 / $132.35 / $164.91
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.27 / $62.39 / $74.98
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.43 / $69.31 / $91.47
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
$80.39 / $116.28 / $162.05
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.88 / $54.29 / $71.86
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$42.50 / $62.34 / $94.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.37 / $88.53 / $194.41
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.77 / $32.54 / $83.20
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.34 / $60.52 / $110.49
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.81 / $64.81 / $64.81
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.23 / $28.23 / $28.23
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.58 / $36.58 / $36.58