go back

Washington rates for HCPCS 76965

Us Guidance Interstitial Radioelment Application

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$74.31 / $149.04 / $230.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.87 / $118.54 / $221.76
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.95 / $74.31 / $176.66
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.34 / $141.09 / $305.79
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.29 / $219.77 / $1,748.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.61 / $164.34 / $554.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.05 / $196.81 / $293.42
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.05 / $138.94 / $203.66
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$78.31 / $134.97 / $169.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.19 / $189.95 / $318.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$81.48 / $139.19 / $170.64
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.95 / $73.20 / $159.02
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$98.49 / $129.31 / $134.00
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.78 / $111.05 / $133.78
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$88.34 / $88.34 / $91.40
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$133.12 / $212.29 / $265.26
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.08 / $152.27 / $187.46
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.13 / $185.56 / $250.60
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$90.09 / $131.47 / $177.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.20 / $104.01 / $265.06
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$67.31 / $73.81 / $181.73