go back

Washington rates for HCPCS 84446

Tocopherol alpha (Vitamin E)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.66 / $54.06 / $121.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.97 / $12.36 / $14.18
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $9.84 / $9.84
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.89 / $28.94 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.00 / $12.90 / $24.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.82 / $29.04 / $49.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.81 / $18.76 / $28.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.09 / $13.68 / $15.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $14.89 / $32.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.18 / $21.27 / $39.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.76 / $12.76 / $12.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.30 / $23.40 / $39.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.64 / $14.18 / $38.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.96 / $5.96 / $14.18
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.38 / $6.38 / $7.35