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Washington rates for HCPCS 76873

Us Transrct Prstate Vol Brachytx Plnning Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$84.88 / $168.56 / $269.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.55 / $210.52 / $466.82
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.59 / $84.88 / $199.54
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.80 / $171.80 / $171.80
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$159.52 / $211.40 / $343.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.32 / $447.00 / $1,504.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$104.73 / $189.32 / $626.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.66 / $315.55 / $562.85
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$82.28 / $137.16 / $229.94
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$72.84 / $157.77 / $263.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.08 / $343.75 / $456.31
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$72.84 / $154.84 / $195.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.48 / $186.70 / $424.37
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$113.27 / $148.74 / $151.41
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.94 / $86.94 / $86.94
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$101.23 / $130.07 / $165.02
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$101.02 / $101.02 / $103.28
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.61 / $401.73 / $493.96
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$116.50 / $172.28 / $211.83
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
$239.32 / $346.45 / $466.66
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$103.03 / $149.63 / $202.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.62 / $194.95 / $476.82
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.59 / $84.25 / $214.71
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.08 / $197.08 / $197.08
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$80.11 / $80.11 / $80.11