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Washington rates for HCPCS 77075

Radiologic Examination Osseous Survey Compl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.87 / $49.13 / $93.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.65 / $118.98 / $237.96
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$23.17 / $29.88 / $65.55
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$65.20 / $89.09 / $162.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.02 / $185.02 / $185.02
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$14.54 / $14.54 / $14.54
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.00 / $118.08 / $118.08
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.61 / $237.48 / $862.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.50 / $63.23 / $216.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.18 / $172.83 / $645.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.31 / $180.28 / $324.54
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$26.78 / $46.84 / $79.09
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$67.17 / $129.94 / $245.85
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$31.57 / $58.92 / $290.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.51 / $190.55 / $266.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$28.35 / $56.86 / $72.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$72.98 / $131.76 / $201.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.52 / $102.70 / $228.88
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.86 / $51.35 / $52.93
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$30.95 / $44.08 / $53.25
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$79.84 / $113.06 / $140.69
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$35.65 / $35.65 / $35.79
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.11 / $228.27 / $280.25
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$40.78 / $61.34 / $74.26
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$108.71 / $168.47 / $207.14
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
$137.68 / $204.82 / $268.77
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.92 / $53.98 / $73.20
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$101.18 / $151.38 / $206.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.72 / $111.83 / $264.85
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.41 / $30.18 / $75.05
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$68.20 / $82.38 / $201.48
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.46 / $113.46 / $113.46
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$27.28 / $27.28 / $27.28
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$86.19 / $86.19 / $86.19