go back

Washington rates for HCPCS 77074

Radiologic Examination Osseous Survey Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.58 / $46.15 / $78.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.52 / $77.81 / $168.21
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.11 / $23.58 / $57.87
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$37.40 / $54.25 / $111.79
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$34.74 / $34.74 / $34.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $94.47 / $94.47
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.09 / $154.69 / $563.10
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.64 / $51.26 / $171.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.45 / $105.51 / $391.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.65 / $120.08 / $211.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.59 / $39.04 / $62.95
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.44 / $82.52 / $149.13
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$21.08 / $47.12 / $290.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.41 / $138.83 / $181.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.08 / $45.77 / $57.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$45.88 / $90.30 / $121.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.20 / $54.50 / $92.81
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$34.08 / $40.90 / $43.55
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.13 / $33.50 / $43.55
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.21 / $70.00 / $90.01
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$28.09 / $28.09 / $28.33
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.17 / $149.41 / $183.71
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.96 / $48.15 / $59.01
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.56 / $102.15 / $125.60
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
$90.09 / $134.26 / $176.05
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$29.76 / $42.90 / $59.78
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$61.45 / $91.79 / $124.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.23 / $72.69 / $185.25
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.74 / $24.89 / $58.90
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$41.50 / $50.01 / $115.20
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.47 / $74.47 / $74.47
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$21.71 / $21.71 / $21.71
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$52.76 / $52.76 / $52.76