go back

Washington rates for HCPCS A4452

Tape Waterproof Per 18 Square Inches

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.28 / $0.64 / $0.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.15 / $0.28 / $0.48
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.64 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $40.00 / $40.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.26 / $0.26 / $0.26
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
$0.41 / $0.70 / $0.88
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $60.00 / $60.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.61 / $0.67
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.47 / $0.47 / $0.47
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.47 / $0.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.27 / $0.43
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.20 / $0.20 / $0.20