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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
$181.59 / $249.00 / $942.61
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$29.35 / $39.79 / $65.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.66 / $142.87 / $316.52
Aetna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$11.78 / $23.04 / $45.10
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$95.35 / $117.15 / $271.72
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.62 / $152.62 / $409.37
Ambetter
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$35.99 / $35.99 / $35.99
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.20 / $245.42 / $601.01
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$100.00 / $102.96 / $102.96
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.48 / $332.45 / $1,197.25
Asuris Northwest Health
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$24.08 / $47.81 / $198.13
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$157.26 / $284.30 / $1,126.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.44 / $234.44 / $442.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.53 / $277.45 / $469.14
Cigna
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$15.97 / $35.06 / $67.81
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$133.72 / $237.54 / $398.83
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.97 / $297.54 / $485.62
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$15.48 / $29.20 / $65.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.03 / $280.35 / $474.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$16.20 / $28.78 / $52.80
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$136.71 / $258.72 / $445.56
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.87 / $147.45 / $334.93
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.89 / $284.88 / $350.42
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$24.15 / $43.78 / $46.90
Pacific Source
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.09 / $28.14 / $46.90
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$163.28 / $255.27 / $337.56
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.45 / $334.04 / $413.35
Premera BCBS
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.22 / $52.50 / $64.67
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$174.99 / $281.52 / $348.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.73 / $202.73 / $311.56
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.13 / $289.91 / $379.46
Regence BlueShield
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$32.34 / $45.36 / $58.88
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$172.79 / $244.55 / $329.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.08 / $252.97 / $418.04
United
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$17.51 / $34.79 / $68.12
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$132.50 / $217.12 / $353.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.60 / $152.62 / $152.62
Wellpoint
Facility/Professional
Professional
Modifier
26
Low / Median / High Price
$18.78 / $23.14 / $23.14
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$90.83 / $129.47 / $129.47