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Washington rates for HCPCS A0396

ALS specialized service disposable supplies; esophageal intubation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.12 / $25.12 / $37.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $23.99 / $23.99
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $100.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $57.54 / $58.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.15 / $38.02 / $45.71