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Washington rates for HCPCS 76770

Us Retroperitoneal Real Time W/Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.33 / $393.49 / $899.24
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.43 / $43.38 / $101.25
Aetna
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$95.89 / $288.13 / $980.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.93 / $147.07 / $541.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.68 / $48.99 / $146.34
Aetna
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$48.22 / $67.67 / $157.37
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.09 / $100.07 / $208.07
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.14 / $202.16 / $299.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.70 / $55.92 / $62.70
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$107.74 / $136.01 / $172.38
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.02 / $311.56 / $514.16
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$82.37 / $157.44 / $157.44
Asuris Northwest Health
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$148.82 / $331.53 / $331.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.07 / $279.18 / $933.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.05 / $82.50 / $290.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$19.84 / $19.84 / $19.84
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.96 / $189.84 / $644.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.32 / $359.42 / $453.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.88 / $208.72 / $350.60
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$38.53 / $64.23 / $107.29
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.67 / $144.60 / $246.19
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$111.19 / $230.88 / $351.42
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.77 / $76.12 / $126.67
Kaiser Permanente
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$91.45 / $168.36 / $285.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.00 / $235.62 / $322.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.77 / $73.81 / $92.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$91.45 / $162.80 / $232.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $100.68 / $227.98
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.29 / $212.70 / $244.40
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.92 / $68.48 / $70.34
Pacific Source
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$120.43 / $144.22 / $163.59
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $86.94 / $86.94
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.00 / $54.08 / $77.18
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.97 / $129.15 / $181.57
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$66.48 / $148.13 / $148.53
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$47.11 / $47.11 / $47.53
Premera BCBS
Facility/Professional
Facility
Modifier
TC
Low / Median / High Price
$101.00 / $101.00 / $101.02
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.57 / $248.81 / $304.62
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.61 / $79.28 / $97.48
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$114.96 / $171.05 / $207.14
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
Facility
Modifier
TC
Low / Median / High Price
$211.40 / $211.40 / $385.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.07 / $216.51 / $291.91
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$48.05 / $69.17 / $93.41
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.03 / $148.32 / $199.08
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $135.07 / $310.64
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.65 / $39.52 / $94.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$77.59 / $92.69 / $211.85
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.52 / $122.52 / $122.52
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.33 / $36.33 / $36.33
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.19 / $86.19 / $86.19