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Washington rates for HCPCS 77065

Diagnostic Mammography Computer-Aided Detcj Uni

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$43.28 / $52.90 / $106.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.30 / $154.47 / $485.38
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.46 / $43.29 / $100.06
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$84.99 / $108.71 / $231.78
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.60 / $236.64 / $341.81
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.28 / $61.35 / $73.78
Ambetter
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$97.59 / $97.59 / $97.59
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.31 / $172.60 / $172.60
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.83 / $297.64 / $1,080.23
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$52.67 / $91.63 / $316.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
52
Low / Median / High Price
$84.35 / $84.35 / $84.35
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$121.04 / $207.40 / $763.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.57 / $235.55 / $404.64
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.32 / $69.86 / $115.66
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.40 / $166.19 / $291.92
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$37.82 / $84.59 / $114.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.68 / $271.82 / $357.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.82 / $81.68 / $104.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.41 / $203.90 / $270.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.59 / $146.95 / $312.31
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.65 / $75.15 / $77.52
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$46.91 / $64.92 / $78.18
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$120.84 / $153.27 / $180.91
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$51.64 / $51.64 / $52.10
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.83 / $291.02 / $357.88
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$58.85 / $88.24 / $106.85
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$135.24 / $204.92 / $245.57
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$177.35 / $177.35 / $243.57
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.71 / $258.35 / $352.25
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.26 / $78.43 / $106.69
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$122.41 / $180.25 / $245.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.78 / $172.41 / $357.21
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$43.71 / $53.36 / $114.25
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$99.56 / $120.52 / $248.91
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.41 / $143.41 / $143.41
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$39.88 / $39.88 / $39.88
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$103.55 / $103.55 / $103.55