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Washington rates for HCPCS A4310

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.11 / $13.87 / $14.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.31 / $6.11 / $13.87
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.44 / $80.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $9.44 / $79.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.51 / $5.51 / $5.51
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $14.76 / $21.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.91 / $14.78 / $21.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.44 / $9.09 / $9.09
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.28 / $9.17 / $10.79
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.17 / $9.71 / $10.79
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.96 / $9.44 / $17.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.96 / $10.54 / $12.12
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $9.17 / $10.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.30 / $5.38 / $8.73
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.63 / $4.63 / $9.17