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Washington rates for HCPCS 76801

Us Pregnant Uterus 14 Wk Transabdl 1/1st Gestat

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.32 / $65.20 / $137.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.46 / $191.16 / $625.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.60 / $64.18 / $190.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.73 / $91.64 / $205.61
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.93 / $179.45 / $231.92
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$44.80 / $73.17 / $82.77
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$70.23 / $129.93 / $152.37
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $211.96 / $211.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.62 / $295.06 / $1,005.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.22 / $116.44 / $384.53
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.41 / $179.61 / $621.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.32 / $225.12 / $376.80
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$51.93 / $86.75 / $143.77
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.26 / $137.28 / $233.30
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$46.50 / $100.03 / $168.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.90 / $248.86 / $323.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.50 / $99.04 / $125.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.70 / $150.96 / $209.16
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.43 / $100.68 / $228.14
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.45 / $92.50 / $95.81
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.13 / $132.12 / $132.12
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$60.06 / $83.52 / $98.67
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$87.78 / $128.62 / $157.08
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.97 / $62.97 / $63.52
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.49 / $269.36 / $329.93
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.17 / $106.53 / $130.28
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$110.32 / $162.83 / $199.64
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
$162.62 / $234.38 / $316.17
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$64.22 / $93.11 / $124.85
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$98.41 / $141.93 / $191.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.51 / $132.40 / $322.74
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.51 / $53.21 / $132.78
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$73.62 / $80.98 / $195.11
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.46 / $131.46 / $131.46
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.10 / $49.10 / $49.10
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$82.36 / $82.36 / $82.36