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Washington rates for HCPCS 93990

Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $281.84 / $954.99
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.51 / $40.74 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $141.25 / $346.74
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$12.88 / $23.99 / $53.70
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.50 / $117.49 / $213.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $138.04 / $295.12
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.49 / $36.31 / $44.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $371.54 / $446.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $269.15 / $467.74
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $34.67 / $69.18
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $234.42 / $407.38
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $302.00 / $457.09
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$16.22 / $38.02 / $288.40
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $281.84 / $416.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.60 / $33.88 / $53.70
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$134.90 / $257.04 / $354.81
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $81.28
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $281.84 / $346.74
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$23.99 / $43.65 / $47.86
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.78 / $28.18 / $53.70
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $263.03 / $338.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $416.87
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $48.98 / $66.07
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$169.82 / $257.04 / $354.81
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $218.78 / $218.78
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $288.40 / $371.54
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$31.62 / $44.67 / $58.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$173.78 / $245.47 / $316.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $416.87 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $239.88 / $380.19
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.38 / $32.36 / $60.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$128.82 / $208.93 / $323.59
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $154.88 / $257.04
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$22.39 / $25.70 / $42.66
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$112.20 / $131.83 / $213.80