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Washington rates for HCPCS 95922

Tstg Ans Funcj Vasomotor Adrenergic Innervaj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$60.39 / $80.02 / $130.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.26 / $98.86 / $172.35
Aetna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$40.58 / $53.95 / $92.74
Asuris Northwest Health
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$62.06 / $202.83 / $202.83
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.73 / $201.34 / $808.65
Asuris Northwest Health
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$51.61 / $106.70 / $436.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.56 / $170.92 / $289.32
Cigna
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$43.93 / $86.57 / $155.46
Kaiser Permanente
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$40.88 / $68.16 / $121.15
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.84 / $128.04 / $244.77
Kaiser Permanente
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$39.20 / $67.76 / $131.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.34 / $70.15 / $221.99
Pacific Source
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$68.59 / $88.50 / $93.16
Pacific Source
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$60.90 / $87.00 / $107.87
Premera BCBS
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$61.70 / $61.70 / $62.06
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.32 / $216.49 / $266.19
Premera BCBS
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$71.76 / $113.58 / $141.85
Regence BlueShield
Facility/Professional
Facility
Modifier
26
Low / Median / High Price
$217.18 / $217.18 / $354.01
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.06 / $186.70 / $254.76
Regence BlueShield
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$75.77 / $97.95 / $131.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.50 / $174.59 / $280.26
United
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$49.35 / $80.52 / $146.28
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.43 / $88.00 / $98.76
Wellpoint
Facility/Professional
Professional
Modifier
TC
Low / Median / High Price
$36.44 / $44.25 / $51.85