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Washington rates for HCPCS A4310

Insertion tray without drainage bag and without catheter (accessories only)

Facilitymedian $12 · 10th–90th $7–$210%10%20%10th90th$12Professionalmedian $6 · 10th–90th $4–$150%20%10th90th$6$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $6.03 / $14.45
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.03 / $11.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $10.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $5.50 / $5.50
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $15.85 / $23.99
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $16.22 / $23.44
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.41 / $9.12 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $8.91 / $9.77
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $9.12 / $9.77
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $16.98 / $20.42
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $10.47
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $9.33 / $10.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.55 / $7.08 / $8.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.17 / $4.57 / $8.71
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $16.60