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Washington rates for HCPCS 77399

Unlisted procedure, medical radiation physics, dosimetry and treatment devices, and special services

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.82 / $634.00 / $781.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.80 / $370.80 / $513.79
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.89 / $384.52 / $735.54
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $3,335.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168.48 / $348.45 / $546.26
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129.59 / $362.91 / $1,075.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.89 / $193.89 / $193.89
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.50 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.70 / $328.00 / $667.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$280.58 / $375.99 / $731.23
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00