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Washington rates for HCPCS A4300

Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.82 / $33.64 / $35.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.82 / $14.82 / $25.64
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $856.80 / $856.80
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.40 / $8.80 / $75.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.38 / $4.38 / $4.38
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,999.20 / $79,999.20 / $79,999.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.59 / $6.20 / $9.38
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.45 / $7.45 / $7.45