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Washington rates for HCPCS A4397

Irrigation supply; sleeve, each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.90 / $5.13 / $6.17
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $60.26 / $60.26
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.27 / $4.90 / $5.37
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $2.57 / $2.57