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Washington rates for HCPCS 76817

Us Preg Uterus Real Time W/Image Dcmtn Transvag

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.65 / $49.61 / $104.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$88.95 / $155.38 / $505.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.13 / $55.14 / $154.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.82 / $74.22 / $166.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.59 / $140.06 / $195.05
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.81 / $57.14 / $64.06
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$56.78 / $56.78 / $105.04
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.15 / $163.00 / $163.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.90 / $233.16 / $795.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.43 / $88.92 / $293.33
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.45 / $144.08 / $501.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.86 / $174.94 / $298.08
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.45 / $65.34 / $109.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.87 / $108.97 / $188.35
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$39.39 / $76.56 / $130.10
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.48 / $196.47 / $261.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.39 / $75.92 / $95.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$62.00 / $123.97 / $173.06
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.22 / $100.68 / $228.14
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$53.41 / $70.04 / $73.03
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.82 / $61.56 / $77.04
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.94 / $99.76 / $126.57
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$48.44 / $48.44 / $48.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.82 / $212.29 / $260.57
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$55.16 / $81.42 / $99.35
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$88.67 / $131.12 / $161.22
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
$128.90 / $184.73 / $249.70
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.43 / $71.17 / $95.21
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.45 / $114.40 / $154.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.44 / $110.04 / $265.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.15 / $42.34 / $101.65
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$59.19 / $65.87 / $156.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.75 / $103.75 / $103.75
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.18 / $37.18 / $37.18
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$66.56 / $66.56 / $66.56