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Washington rates for HCPCS 77331

Spec Dosim Only Prescribed Treating Phys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$45.03 / $94.97 / $155.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.57 / $67.65 / $151.47
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$37.99 / $47.94 / $101.47
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$17.57 / $21.53 / $41.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.22 / $55.22 / $55.22
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$36.42 / $45.52 / $49.40
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.70 / $210.41 / $246.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.32 / $152.78 / $551.85
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.91 / $104.46 / $402.86
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.41 / $43.88 / $402.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.62 / $130.46 / $202.76
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$56.20 / $90.75 / $146.19
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.42 / $40.27 / $63.35
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$42.47 / $97.94 / $399.23
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.69 / $135.11 / $178.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$42.86 / $96.69 / $122.84
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$19.53 / $41.15 / $56.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.75 / $64.23 / $144.49
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$63.21 / $85.76 / $91.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.79 / $25.79 / $28.65
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$50.65 / $72.90 / $91.72
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.11 / $31.20 / $38.09
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.70 / $60.70 / $62.61
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.14 / $148.65 / $176.90
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$69.86 / $104.44 / $124.49
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$29.33 / $44.21 / $52.61
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$246.13 / $246.13 / $422.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.32 / $133.58 / $175.15
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$61.91 / $93.85 / $123.05
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$25.41 / $39.22 / $52.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.75 / $83.00 / $174.10
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$53.61 / $59.10 / $117.81
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$23.17 / $25.11 / $49.36
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.17 / $72.17 / $72.17
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$49.40 / $49.40 / $49.40
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$22.77 / $22.77 / $22.77