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Washington rates for HCPCS A4360

Adult Incontinence Garment (E.G. Brief Diaper) Each (Not Covered By Medicare. See Cim: 60-9)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.33 / $0.75 / $0.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.21 / $0.33 / $0.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.51 / $75.00 / $80.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.51 / $4.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.28
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.41 / $0.70 / $0.89
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.42 / $0.70 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.48 / $0.51 / $0.95
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.56 / $0.83
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.48 / $0.50 / $0.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.35 / $0.55
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.50