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Washington rates for HCPCS A4349

Male external catheter, with or without adhesive, disposable, each

Facilitymedian $3 · 10th–90th $2–$50%10%10th90th$3Professionalmedian $2 · 10th–90th $1–$40%20%10th90th$2$1.0$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
$1.00 / $1.00 / $3.80
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $2.75
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.45 / $1.45
Kaiser Permanente
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.82 / $3.47 / $5.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $3.63 / $5.75
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.95 / $2.14 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.24 / $2.75 / $2.82
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.82 / $2.82
Premera BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.34 / $4.37 / $5.37
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.34 / $2.34 / $2.75
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.29 / $2.45 / $3.16
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.91 / $0.91 / $2.24
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.07 / $1.20 / $2.29
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.45 / $2.45 / $4.27