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Washington rates for HCPCS 76856

Us Pelvic Nonobstetric Real-Time Image Complete

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.17 / $48.64 / $107.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.32 / $138.41 / $630.00
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.75 / $47.89 / $135.00
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$74.65 / $102.17 / $262.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.31 / $167.22 / $224.42
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.20 / $52.24 / $58.57
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.14 / $116.56 / $170.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$77.02 / $146.86 / $171.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.38 / $271.44 / $907.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.28 / $81.70 / $265.73
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.10 / $187.72 / $641.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.24 / $199.53 / $341.66
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.97 / $60.06 / $99.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.78 / $142.66 / $240.98
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.93 / $68.89 / $115.69
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.56 / $225.18 / $314.74
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.93 / $68.34 / $86.28
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.49 / $161.32 / $221.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.11 / $100.68 / $228.14
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$52.80 / $64.04 / $66.33
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.25 / $78.25 / $86.94
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$41.58 / $55.31 / $71.54
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.99 / $129.55 / $166.37
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.87 / $43.87 / $44.39
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.93 / $241.97 / $296.19
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.52 / $74.56 / $89.98
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$113.41 / $167.71 / $206.21
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
$147.38 / $210.55 / $283.83
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$45.28 / $65.18 / $86.33
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$102.10 / $146.32 / $197.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.52 / $122.04 / $290.97
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.97 / $38.03 / $93.11
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$76.51 / $85.12 / $208.99
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.37 / $119.37 / $119.37
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$33.97 / $33.97 / $33.97
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$85.40 / $85.40 / $85.40