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Washington rates for HCPCS 76642

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Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.65 / $285.00 / $561.60
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$36.79 / $44.89 / $93.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.01 / $108.29 / $425.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.44 / $41.75 / $137.60
Aetna
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$111.06 / $542.00 / $675.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$50.56 / $67.84 / $151.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$66.63 / $157.99 / $191.50
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$25.88 / $51.88 / $63.20
Ambetter
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$99.95 / $265.70 / $349.63
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$58.28 / $58.28 / $58.28
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$174.46 / $257.51 / $514.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$67.43 / $85.00 / $146.86
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $211.51 / $731.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.35 / $80.20 / $267.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
50
Low / Median / High Price
$127.78 / $151.94 / $244.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.00 / $129.74 / $464.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.23 / $297.08 / $396.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.01 / $157.21 / $273.10
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.11 / $59.47 / $98.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.47 / $98.32 / $174.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.61 / $167.17 / $260.05
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.62 / $68.19 / $114.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.36 / $175.77 / $232.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $67.14 / $85.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$55.07 / $108.81 / $148.50
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.12 / $100.63 / $227.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.61 / $167.29 / $172.72
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.80 / $63.80 / $64.98
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.24 / $54.98 / $65.23
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.88 / $90.91 / $106.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.06 / $115.06 / $116.54
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.49 / $43.49 / $43.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.97 / $194.79 / $239.01
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.00 / $73.81 / $89.98
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$81.96 / $121.21 / $149.03
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.99 / $251.29 / $489.71
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$156.94 / $156.94 / $209.36
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.35 / $169.50 / $229.04
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.35 / $64.51 / $86.23
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.00 / $105.27 / $141.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.75 / $97.55 / $233.39
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.65 / $38.36 / $88.43
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$54.49 / $59.63 / $151.05
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.75 / $95.75 / $95.75
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.90 / $33.90 / $33.90
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.84 / $61.84 / $61.84