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Washington rates for HCPCS A4321

Therapeutic Agent For Urinary Catheter Irrigation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.31 / $2.97 / $3.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.31 / $2.27
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.00 / $100.00 / $100.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.87 / $8.10 / $40.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
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
$3.29 / $3.29 / $3.29
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.10 / $8.10 / $8.10