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Washington rates for HCPCS A4480

Vabra Aspirator (Special Coverage Instructions Apply. See Cim: 50-10 And Mcm: 2320)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.83 / $6.42 / $6.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.91 / $2.83 / $4.90
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.57 / $85.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.70 / $9.52 / $29.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.75 / $2.75 / $2.75
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.41 / $7.03 / $9.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.24 / $7.25 / $9.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.50 / $6.61 / $6.70
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.53 / $4.53 / $4.57
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $7.48 / $9.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.17 / $3.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.32 / $3.32 / $3.32