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Washington rates for HCPCS 77290

Ther Rad Simulaj-Aided Field Setting Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$80.09 / $152.60 / $279.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.37 / $594.37 / $1,398.32
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$68.98 / $95.18 / $252.63
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$405.41 / $515.29 / $1,131.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.29 / $394.82 / $1,311.23
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.11 / $88.22 / $163.21
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.17 / $1,357.70 / $1,357.70
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.47 / $1,039.48 / $4,499.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.34 / $186.42 / $1,350.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$515.13 / $879.77 / $3,199.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$628.10 / $946.31 / $1,465.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$100.70 / $162.83 / $261.45
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$531.72 / $794.41 / $1,223.81
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$76.26 / $175.32 / $1,073.72
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.14 / $1,049.83 / $1,504.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$76.97 / $173.62 / $220.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$448.88 / $889.61 / $1,254.36
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.76 / $418.69 / $1,043.58
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$112.70 / $154.10 / $164.15
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$94.87 / $127.68 / $161.00
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$505.60 / $634.04 / $869.97
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$109.17 / $109.17 / $111.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$697.99 / $1,030.26 / $1,258.79
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$125.86 / $186.76 / $223.12
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$571.69 / $849.85 / $1,029.16
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$657.04 / $657.04 / $1,088.88
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.47 / $929.36 / $1,265.84
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$111.34 / $167.83 / $220.06
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$515.13 / $759.82 / $1,050.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.51 / $635.17 / $1,227.49
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$95.73 / $106.47 / $212.21
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$469.76 / $528.71 / $1,011.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.70 / $511.70 / $511.70
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$88.22 / $88.22 / $88.22
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$423.47 / $423.47 / $423.47