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Washington rates for HCPCS 84590

Vitamin A

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.12 / $45.98 / $112.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.11 / $10.91
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.06 / $8.06
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.19 / $26.70 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.73 / $10.45 / $20.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $23.78 / $44.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $15.18 / $23.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.26 / $11.20 / $12.32
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $12.19 / $30.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.61 / $17.42 / $31.93
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.45 / $10.45 / $10.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.35 / $19.16 / $31.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $11.61 / $31.44
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.88 / $4.88 / $11.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.22 / $5.22 / $6.01