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Washington rates for RC 0404

Other Imaging Services - Positron Emission Tomography

Insurance Carrier
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,678.73 / $2,946.60 / $6,097.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,619.00 / $3,357.00 / $4,737.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.20 / $357.68 / $965.60